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重症监护病房用药错误的前瞻性研究。

A Prospective Study on Medication Errors in an Intensive Care Unit.

作者信息

Moudgil Khayati, Premnath Bhagya, Shaji Jemi Rachel, Sachin Indhrajith, Piyari Samrin

机构信息

Faculty of Health Sciences, School of Pharmacy, JSS Academy of Higher Education & Research, Vacoas, Republic of Mauritius

JSS College of Pharmacy, Ooty. JSS Academy of Higher Education and Research, Mysuru, India

出版信息

Turk J Pharm Sci. 2021 Apr 20;18(2):228-232. doi: 10.4274/tjps.galenos.2020.95825.

Abstract

OBJECTIVES

Any preventable event related to drugs that may cause harm to a patient is known as "medication error". Errors occur due to a lack of knowledge, poor performance, and psychological lapses. The pharmacists has a major role along with physicians, nurses, and administrators to examine and improve the healthcare system in order to ensure patient safety. The objective of this study was to determine the frequency, causes, and types of medication errors in the secondary-care intensive care unit.

MATERIALS AND METHODS

All medical records of intensive care unit patients, above 14 years of age, listing their co-morbid/non-co-morbid conditions, occupation, caste, and gender, were checked for medication errors for a period of 6 months at Government Head Quarters Hospital, Udhagamandalam.

RESULTS

According to the results of this study, 116 medication errors were found in 103 patients in the intensive care unit. The number of medication errors was higher in men than in women. The most common medication errors were prescription errors, which were due to illegible handwriting; the use of lookalike drugs; and incomplete dose, dosage, and frequency.

CONCLUSION

Considering the results of this study, it is important to increase awareness among healthcare professionals of varying stature about the significance of medication errors. It is also necessary to change the existing prescribing techniques and clearly differentiate lookalike drugs to avoid medication errors.

摘要

目的

任何与药物相关的、可能对患者造成伤害的可预防事件都被称为“用药错误”。错误的发生是由于知识欠缺、操作不当和心理失误。药剂师与医生、护士和管理人员一道,在检查和改进医疗保健系统以确保患者安全方面发挥着重要作用。本研究的目的是确定二级护理重症监护病房用药错误的发生率、原因和类型。

材料与方法

在乌塔卡蒙德政府总部医院,对所有14岁以上重症监护病房患者的病历进行了为期6个月的检查,病历中列出了他们的合并症/非合并症情况、职业、种姓和性别,以查找用药错误。

结果

根据本研究结果,在重症监护病房的103名患者中发现了116起用药错误。男性的用药错误数量高于女性。最常见的用药错误是处方错误,原因包括字迹潦草、使用相似药物以及剂量、用量和频率填写不完整。

结论

考虑到本研究结果,提高不同层级医疗保健专业人员对用药错误重要性的认识非常重要。还需要改变现有的处方开具技术,并明确区分相似药物,以避免用药错误。

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