重症监护病房用药的预防性风险评估
Preventive Risk Assessment of Medication in Intensive Wards.
作者信息
Hayati Hadi, Piramoon Majid
机构信息
Razi Herbal Medicines Research Center, Lorestan University of Medical Sciences, Khorramabad, Iran.
Department of Pharmacoeconomics and Management, School of Pharmacy, Lorestan University of Medical Sciences, Khorramabad, Iran.
出版信息
Int J Prev Med. 2023 Sep 28;14:117. doi: 10.4103/ijpvm.ijpvm_290_22. eCollection 2023.
BACKGROUND
Failure mode and effect analysis (FEMA) approach as one of the preventive risk management strategies to identify and prevent errors in the medication process in nursing care in the 10 intensive wards in two large hospitals in Khorramabad.
METHODS
This study is applied descriptive research, which is conducted as a mixed-method quantitative-qualitative approach using focus group discussion.
RESULTS
The average risk priority number (RPN) score for the intensive care unit (ICU) in this study was 20.97. The highest RPN scores were associated with the SICU (Surgical ICU) and EICU (Emergency ICU) wards with RPN of 24.66 and 22.71, respectively. Among the steps of the medication process, the first step "physician order" had the highest score (RPN = 26.08).
CONCLUSIONS
The intensive wards, which had high RPN scores are exposed to more risk of the drug medication process like EICU and SICU; also, simple acts such as handwriting readable by a physician can considerably reduce risk in the ICU.
背景
失效模式与效应分析（FEMA）方法作为一种预防性风险管理策略，用于识别和预防克尔曼沙阿市两家大型医院10个重症监护病房护理用药过程中的差错。
方法
本研究为应用描述性研究，采用焦点小组讨论的混合方法，即定量与定性相结合的方法。
结果
本研究中重症监护病房（ICU）的平均风险优先数（RPN）得分为20.97。最高RPN得分与外科重症监护病房（SICU）和急诊重症监护病房（EICU）相关，其RPN分别为24.66和22.71。在用药过程的各个步骤中，第一步“医生医嘱”得分最高（RPN = 26.08）。
结论
RPN得分高的重症监护病房，如EICU和SICU，在药物治疗过程中面临更高风险；此外，诸如医生字迹清晰可读等简单行为可显著降低ICU的风险。
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