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护士用药错误的 predisposing 因素及预防策略:近期文献的范围综述 。(这里“predisposing”未准确对应中文词汇,可结合语境理解其含义)

Predisposing Factors to Medication Errors by Nurses and Prevention Strategies: A Scoping Review of Recent Literature.

作者信息

Coelho Fábio, Furtado Luís, Mendonça Natália, Soares Hélia, Duarte Hugo, Costeira Cristina, Santos Cátia, Sousa Joana Pereira

机构信息

Department of Nursing, Mental Health, and Gerontology, School of Health, University of the Azores, 9700-042 Angra do Heroísmo, Portugal.

Flores Island Healthcare Unit, 9960-430 Flores Island, Portugal.

出版信息

Nurs Rep. 2024 Jun 26;14(3):1553-1569. doi: 10.3390/nursrep14030117.

Abstract

Medication errors have serious consequences and high costs for the patient and the system. The treatment process and the care required for critically ill patients are complex, and these patients are more vulnerable to errors and potential consequences. A scoping review using the JBI methodology was conducted across PubMed, CINAHL, and MEDLINE databases and reported by the PRISMA-ScR guidelines to explore strategies that can mitigate medication errors by nurses. The search strategy focused on references published between January 2012 and April 2023. Sixteen studies were included, and the results were organized into thematic areas. Medication errors by nurses are in the areas of preparation, administration, and documentation; organizational, system-related, procedural, personal, and knowledge and training factors are predisposing factors for errors; educational intervention, verification and safety methods, organizational changes, and error reporting are the strategic areas to mitigate medication error. The organization of the data could be different, as it depends on the reviewers' experience. Knowledge of the factors that cause medication errors and interventions to mitigate them make it possible to outline strategies to minimize their occurrence and achieve health gains. The protocol preceding this review has been registered in the Open Science Framework and published.

摘要

用药错误会给患者和医疗系统带来严重后果和高昂成本。重症患者的治疗过程和所需护理非常复杂,这些患者更容易出现错误及潜在后果。采用JBI方法进行了一项范围综述,检索了PubMed、CINAHL和MEDLINE数据库,并按照PRISMA-ScR指南进行报告,以探索可减轻护士用药错误的策略。检索策略聚焦于2012年1月至2023年4月期间发表的参考文献。纳入了16项研究,并将结果归纳为不同主题领域。护士的用药错误发生在准备、给药和记录环节;组织、系统相关、程序、个人以及知识和培训因素是导致错误的诱发因素;教育干预、核查和安全方法、组织变革以及错误报告是减轻用药错误的战略领域。数据的组织方式可能不同,这取决于评审人员的经验。了解导致用药错误的因素以及减轻这些错误的干预措施,有助于制定策略以尽量减少其发生并实现健康效益。本次综述之前的方案已在开放科学框架中注册并发表。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/251a/11270417/24df9f4f5cd2/nursrep-14-00117-g001.jpg

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