Plevová Ilona, Jarošová Darja, Janíková Eva, Zeleníková Renáta, Mynaříková Eva, Polanská Andrea
Vnitr Lek. 2020 Fall;66(7):31-38.
The aim was to analyze selected studies on rationed nursing care as one of the indicators that influence the occurrence of medication errors.
A descriptive review study. Articles and studies were searched in the following selected electronic databases: EBSCO (Academic Search Ultimate, Academic Search Complete), CINAHL Plus with Full Text, MEDLINE Complete, ScienceDirect and Central & Eastern European Academic Source. The search for relevant sources was based on the following English keywords: unfinished care, omitted care, rationing care, missed care, nursing care, medication errors.
Total of 86 contributions found. After duplicit and irrelevant publications were the analysis comprised 8 primary studies and 2 systematic reviews. The studies were concerned with rationed or otherwise defined non-standard nursing care not merely related to medication errors. Each study described selected activities most frequently omitted by nurses with respect to medication: assessment of drug efficacy, medication errors, administration of incorrect drugs or doses, wrong time of administration, high-risk drug protocols and adhering to rules with each administration. The most frequently reported factor influencing the occurrence of missed care was understaffing and the related number of patients per nurse, resulting in a lack of time for selected patient activities.
Despite difference in methods, all studies consistently claimed that rationed, unfinished, missed or omitted nursing care has or may have a negative impact on both patients and nurses. Some of the recommendations were increasing the number of nurses, improving team collaboration and work organization including setting systemic and preventive measures.
分析有关定量护理的选定研究，将其作为影响用药错误发生的指标之一。
一项描述性综述研究。在以下选定的电子数据库中检索文章和研究：EBSCO（学术搜索高级版、学术搜索完整版）、CINAHL全文数据库、MEDLINE完整版、ScienceDirect以及中东欧学术资源库。基于以下英文关键词搜索相关文献来源：未完成的护理、遗漏的护理、定量护理、错过的护理、护理、用药错误。
共找到86篇文献。在剔除重复和不相关的出版物后，分析纳入了8项主要研究和2项系统评价。这些研究关注的是定量或其他定义的非标准护理，而不仅仅是与用药错误相关的护理。每项研究都描述了护士在用药方面最常遗漏的特定活动：药物疗效评估、用药错误、给予错误的药物或剂量、给药时间错误、高风险药物方案以及每次给药时遵守规则情况。影响错过护理发生的最常报告因素是人员配备不足以及每位护士所护理的患者数量，这导致缺乏时间开展特定的患者护理活动。
尽管研究方法存在差异，但所有研究一致认为，定量的、未完成的、错过的或遗漏的护理对患者和护士都有或可能有负面影响。一些建议包括增加护士数量、改善团队协作和工作组织，包括制定系统的预防措施。
