护士和助产士层面药物治疗过程的安全性评估——一项观察性研究
Safety Assessment of the Pharmacotherapy Process at the Nurse and Midwife Level - An Observational Study.
作者信息
Witczak Izabela, Uchmanowicz Izabella, Tartaglia Riccardo, Rypicz Łukasz
机构信息
Department of Health Care Economics and Quality, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.
Department of Clinical Nursing, Faculty of Health Sciences, Wroclaw Medical University, Wroclaw, Poland.
出版信息
Ther Clin Risk Manag. 2020 Nov 4;16:1057-1065. doi: 10.2147/TCRM.S276901. eCollection 2020.
PURPOSE
Pharmacological errors are among the most common in the healthcare system. This study aimed to determine the level of safety of the pharmacotherapy process at the stage performed by nurses and midwives by indicating the key risk factors affecting patients' safety.
METHODS
A group of 1276 nurses and 136 midwives in Poland participated in the study. The survey was conducted in the period from May 2019 to August 2019. The original Nursing Risk in Pharmacotherapy (NURIPH) tool was used.
RESULTS
The Cronbach alpha coefficient was 0.832. The low legibility of the medical orders (item 1) was indicated as the highest risk. A mean of 4.50 means that this factor's significance is assessed between "very significant" and "significant." The communication between physician, nurse and midwife, time pressure, and work organization were also rated high (Items 2, 3, and 4). The averages for these factors are higher than 4, so their evaluation is more than "significant.".
CONCLUSION
Nurses and midwives involved in the pharmacotherapy process are exposed to many ergonomic factors triggering risk. A huge problem is the lack of readability of medical orders, which may be a factor triggering a medical error.
目的
用药错误是医疗系统中最常见的错误之一。本研究旨在通过指出影响患者安全的关键风险因素，确定护士和助产士执行阶段药物治疗过程的安全水平。
方法
波兰的1276名护士和136名助产士参与了该研究。调查于2019年5月至2019年8月期间进行。使用了原始的药物治疗护理风险（NURIPH）工具。
结果
克朗巴哈α系数为0.832。医嘱的低清晰度（第1项）被指出是最高风险。平均4.50意味着该因素的重要性在“非常重要”和“重要”之间评估。医生、护士和助产士之间的沟通、时间压力和工作组织也被评为高风险（第2、3和4项）。这些因素的平均值高于4，因此它们的评估超过“重要”。
结论
参与药物治疗过程的护士和助产士面临许多引发风险的人体工程学因素。一个巨大的问题是医嘱缺乏可读性，这可能是引发医疗错误的一个因素。
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