重症监护病房抗菌药物剂量遗漏情况分析
Analysis of omission of antimicrobial doses in Intensive Care Units.
作者信息
Machado Isabelle Ribeiro, Henrique Danielle de Mendonça, Camerini Flávia Giron, Paula Vanessa Galdino de, Fassarella Cintia Silva, Mello Lucas Rodrigo Garcia de
机构信息
Universidade do Estado do Rio de Janeiro. Rio de Janeiro, Rio de Janeiro, Brazil.
出版信息
Rev Bras Enferm. 2024 Dec 16;77(6):e20240102. doi: 10.1590/0034-7167-2024-0102. eCollection 2024.
OBJECTIVES
to analyze the rate of antimicrobial dose omission in intensive care units.
METHODS
cross-sectional study carried out between March 1 and September 30, 2023, in intensive care units of a University Hospital in Rio de Janeiro.
RESULTS
the sample consisted of 452 prescriptions and 1467 antimicrobial doses. The dose omission rate was 4.29%. Each antimicrobial prescribed increased the chance of omission by 51%. The strategy of double-checking prescriptions helped prevent 30% of antimicrobial dose omissions (p=0.0001).
CONCLUSIONS
monitoring the omission of antimicrobial doses can guide nursing actions to improve quality and patient safety, contributing to the prevention of medication errors, antimicrobial stewardship and the fight against antimicrobial resistance.
目的
分析重症监护病房抗菌药物剂量遗漏率。
方法
于2023年3月1日至9月30日在里约热内卢一家大学医院的重症监护病房进行横断面研究。
结果
样本包括452份处方和1467剂抗菌药物。剂量遗漏率为4.29%。每开具一种抗菌药物，遗漏的几率增加51%。双重核对处方的策略有助于预防30%的抗菌药物剂量遗漏（p=0.0001）。
结论
监测抗菌药物剂量遗漏可指导护理行动，以提高质量和患者安全，有助于预防用药错误、抗菌药物管理及对抗抗菌药物耐药性。
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