Beaudart Charlotte, Witjes Maureen, Rood Paul, Hiligsmann Mickael
Department of Health Services Research, Care and Public Health Research Institute (CAPHRI), Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
Faculty of Health, Medicine and Life Sciences, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.
Arch Public Health. 2023 Feb 15;81(1):23. doi: 10.1186/s13690-023-01041-2.
Despite extensive research carried out on medication administration errors (MAEs) in the domain of infusion therapy, there is limited knowledge on nurse's perceptions on the occurrence of MAEs during infusion therapy. Since nurses are responsible for medication preparation and administration in Dutch hospitals, it is vital to understand their perspectives on the risk factors for MAEs.
The purpose of this study is to investigate the perception of nurses, working in adult ICUs, on the occurrence of MAEs during continuous infusion therapies.
A digital web-based survey was distributed among 373 ICU nurses working in Dutch hospitals. The survey investigated nurses' perceptions on the frequency, severity of consequences and preventability of MAEs, factors for the occurrence of MAEs, and infusion pump and smart infusion safety technology.
A total of 300 nurses started to fill out the survey but only 91 of them (30.3%) fully completed it and were included in analyses. Medication-related factors and Care professional-related factors were perceived as the two most important risk categories for the occurrence of MAEs. Important risk factors contributing to the occurrence of MAEs included high patient-nurse ratio, problems in communication between caregivers, frequent staff changes and transfers of care, and no/incorrect dosage/concentration on labels. Drug library was reported as the most important infusion pump feature and both Bar Code Medication Administration (BCMA) and medical device connectivity as the two most important smart infusion safety technologies. Nurses perceived the majority of MAEs as preventable.
Based on ICU nurses' perceptions, the present study suggests that strategies to reduce MAEs in these units should focus on, among other factors, the high patient-to-nurse ratio, problems in communication between nurses, frequent staff changes and transfers of care, and no/incorrect dosage/concentration on drug labels.
尽管在输液治疗领域对用药错误（MAEs）进行了广泛研究，但关于护士对输液治疗期间用药错误发生情况的看法的了解却很有限。由于荷兰医院的护士负责药物准备和给药，了解他们对用药错误风险因素的看法至关重要。
本研究的目的是调查在成人重症监护病房工作的护士对连续输液治疗期间用药错误发生情况的看法。
在荷兰医院工作的373名重症监护病房护士中开展了一项基于网络的数字调查。该调查调查了护士对用药错误的频率、后果严重程度和可预防性、用药错误发生的因素以及输液泵和智能输液安全技术的看法。
共有300名护士开始填写调查问卷，但其中只有91名（30.3%）完全完成并纳入分析。与药物相关的因素和与护理专业人员相关的因素被认为是用药错误发生的两个最重要的风险类别。导致用药错误发生的重要风险因素包括患者与护士比例高、护理人员之间沟通问题、频繁的人员变动和护理交接，以及标签上无/剂量/浓度错误。药物库被报告为最重要的输液泵功能，条形码给药系统（BCMA）和医疗设备连接性被认为是两个最重要的智能输液安全技术。护士认为大多数用药错误是可以预防的。
基于重症监护病房护士的看法，本研究表明，减少这些科室用药错误的策略应重点关注，除其他因素外，还包括患者与护士比例高、护士之间沟通问题、频繁的人员变动和护理交接，以及药物标签上无/剂量/浓度错误。
