Coelho Fábio, Furtado Luís, Tavares Márcio, Sousa Joana Pereira
Department of Nursing, Mental Health, and Gerontology, School of Health, University of the Azores, 9700-042 Angra do Heroísmo, Portugal.
Department of Nursing, Family and Community, School of Health, University of the Azores, 9500-321 Ponta Delgada, Portugal.
Healthcare (Basel). 2025 Jan 2;13(1):66. doi: 10.3390/healthcare13010066.
Medication errors are the most frequent and critical issues in healthcare settings, often leading to worsened clinical outcomes, increased treatment costs, extended hospital stays, and heightened mortality and morbidity rates. These errors are particularly prevalent in intensive care units (ICUs), where the complexity and critical nature of the care elevate the risks. Nurses play a pivotal role in preventing medication errors and require strategies and methods to enhance patient safety. This study aims to develop a comprehensive and evidence-based intervention to minimize medication errors by nurses in ICUs. This qualitative case study forms a part of a broader research project that commenced with a scoping review. Building on the review findings, a complex intervention was designed to address nurses' medication errors. A focus group of experts was conducted to validate the intervention designed, evaluating its contextual feasibility and relevance. This study led to the development of a complex intervention whose relevance lies in its potential implementation within the studied context. The resulting intervention was structured around four main components-educational interventions, verification and safety methods, organizational and functional modifications, and an error reporting system-meticulously designed to leverage the ICU's existing resources. In conclusion, the proposed intervention has the potential to positively impact healthcare quality by reducing errors and promoting a culture of safety. Furthermore, this study's findings provide a relevant foundation for future research and practical applications, driving advancements in healthcare service excellence.
用药错误是医疗机构中最常见且关键的问题，常常导致临床结果恶化、治疗成本增加、住院时间延长以及死亡率和发病率上升。这些错误在重症监护病房（ICU）尤为普遍，因为该科室护理工作的复杂性和关键性增加了风险。护士在预防用药错误方面发挥着关键作用，需要相应的策略和方法来提高患者安全。本研究旨在制定一项全面且基于证据的干预措施，以最大限度减少ICU护士的用药错误。 这项定性案例研究是一个更广泛研究项目的一部分，该项目始于一项范围综述。基于综述结果，设计了一项复杂的干预措施来解决护士的用药错误问题。开展了一次专家焦点小组讨论，以验证所设计的干预措施，评估其在实际环境中的可行性和相关性。 本研究促成了一项复杂干预措施的开发，其相关性在于有可能在所研究的环境中实施。最终形成的干预措施围绕四个主要组成部分构建——教育干预、核查与安全方法、组织与功能调整以及一个错误报告系统，这些部分经过精心设计，以利用ICU的现有资源。 总之，所提出的干预措施有可能通过减少错误和促进安全文化来对医疗质量产生积极影响。此外，本研究的结果为未来的研究和实际应用提供了相关基础，推动医疗服务卓越性的进步。
