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国内药物给药途径错误:一个被低估的公共卫生课题综述。

Wrong administration route of medications in the domestic setting: a review of an underestimated public health topic.

机构信息

Department of Public Health Sciences, University of Torino, Torino, Italy.

A.O.U. City of Health and Science of Torino, Torino, Italy.

出版信息

Expert Opin Pharmacother. 2021 Jun;22(8):1051-1059. doi: 10.1080/14656566.2021.1876027. Epub 2021 Jan 24.

Abstract

: Since medication errors related to incorrect administration routes are less common than other errors, they are rarely considered when assessing patient mistakes. The present review was performed to search for papers assessing incorrect route medication errors made by adult patients with the aim of providing an overview of this phenomenon.: PubMed, Scopus, and EMBASE were searched up to October 2019 using free text and MeSH terms, returning 7609 results. Papers were considered eligible if they considered incorrect administration route errors by adult patients in domestic settings. Eleven papers were included, primarily from National Poison Centers (NPCs) or similar institutions from USA or Europe (observation period: 1985-2014). The data showed how an incorrect route of self-administration is a concern for patient safety and should be considered when evaluating medication errors. Moreover, one of the main observations that the results highlighted was the difficulty of obtaining clear and precise data regarding self-administration.: NPC reports are a reliable but not exhaustive tool due to high underreporting; reports should provide additional information or insights into these issues. Additionally, improvements in drug packaging and labeling, proper plain language instruction and patient education could reduce the frequency of such errors.

摘要

: 由于与给药途径错误相关的用药错误比其他错误少见,因此在评估患者错误时很少考虑到这些错误。本综述旨在搜索评估成年患者给药途径错误的论文,旨在概述这一现象:检索了PubMed、Scopus 和 EMBASE,截至 2019 年 10 月,使用自由文本和 MeSH 术语,共检索到 7609 项结果。如果论文考虑了国内成人患者的给药途径错误,则认为符合条件。共纳入 11 篇论文,主要来自美国或欧洲的国家毒物中心(NPC)或类似机构(观察期:1985-2014 年)。这些数据表明,自我给药的错误途径是对患者安全的关注,在评估用药错误时应予以考虑。此外,结果突出显示的一个主要观察结果是,难以获得关于自我给药的明确和准确数据:由于报告率高,NPC 报告是一种可靠但不详尽的工具;报告应提供有关这些问题的额外信息或见解。此外,改进药物包装和标签、使用通俗易懂的说明和患者教育可以减少此类错误的发生频率。

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