评估临床药师在专门烧伤病房检测和减少用药错误中的作用。
Evaluating the role of clinical pharmacist in the detection and reduction of medication errors in a specialized burn unit.
机构信息
Department of Clinical Pharmacy, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran.
Department of Clinical Pharmacy, Faculty of Pharmacy, Kerman University of Medical Sciences, Kerman, Iran; Herbal and Traditional Medicines Research Center, Kerman University of Medical Sciences, Kerman, Iran.
出版信息
Burns. 2023 May;49(3):646-654. doi: 10.1016/j.burns.2022.04.013. Epub 2022 Apr 22.
OBJECTIVE
This study evaluated the frequency and types of medication errors and the role of clinical pharmacist in the reduction of medication errors in a burn unit.
METHODS
The clinical pharmacist monitored medication use process in all patients admitted to the burn unit in the 4-month interventional study. Direct observation and chart review methods were used to detect medication errors. Medication errors were classified according to the classification of American Society of Health-system Pharmacists. The seriousness of medication errors was categorized based on the National Coordinating Council for Medication Error Reporting and Prevention index.
RESULTS
During the study, 1653 drugs were prescribed to 94 patients. Totally, 259 medication errors were identified. The rates of medication errors were 2.75 errors/patient, 0.16 errors/ordered medication, and 0.98 errors/prescription. The most common type of errors was prescribing error (61.8%) followed by dispensing error (14.7%). Regarding the seriousness of medication errors, 1.9%, 21.6%, 45.9%, 30.1%, and 0.4% of errors were in the categories B, C, D, E, and F, respectively. Antibiotics had the highest rate of errors. Of all detected medication errors, 64.5% were intercepted or corrected by the clinical pharmacist interventions.
CONCLUSION
Medication errors were not rare in the burn unit. Providing clinical pharmacy services to burn patients to reduce the incidence of medication errors is highly recommended.
目的
本研究评估了在烧伤病房中药物错误的发生频率和类型，以及临床药师在减少药物错误中的作用。
方法
在这项为期 4 个月的干预性研究中，临床药师监测了所有入住烧伤病房的患者的用药过程。采用直接观察和病历审查的方法来检测药物错误。根据美国卫生系统药师协会的分类方法对药物错误进行分类。根据国家药物协调委员会药物错误报告和预防指数对药物错误的严重程度进行分类。
结果
在研究期间，94 名患者共开具了 1653 种药物，共发现 259 例药物错误。药物错误发生率为 2.75 例/患者，0.16 例/医嘱，0.98 例/处方。最常见的错误类型是处方错误（61.8%），其次是配药错误（14.7%）。就药物错误的严重程度而言，B、C、D、E 和 F 类错误的比例分别为 1.9%、21.6%、45.9%、30.1%和 0.4%。抗生素的错误发生率最高。在所有检测到的药物错误中，64.5%通过临床药师的干预得到了拦截或纠正。
结论
烧伤病房中药物错误并不罕见。建议为烧伤患者提供临床药学服务，以降低药物错误的发生率。
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