Mondal Ramkrishna, Sameer Mohammed
Department of Hospital Administration, All India Institute of Medical Sciences, Patna, Bihar, India.
Department of Hospital Administration, All India Institute of Medical Sciences, Bhubaneswar, Odisha, India.
Glob J Qual Saf Healthc. 2024 Dec 30;8(1):43-49. doi: 10.36401/JQSH-24-23. eCollection 2025 Feb.
Medication or medical mistakes, the third highest cause of death in the United States, occur from prescription writing to administering the therapy, with serious clinical and cost repercussions. Digital health technologies, such as connected healthcare systems, have the potential to reduce pharmaceutical errors and increase patient safety. This systematic review was conducted to find literature evidence to improve patient safety and reduce medication errors with connected healthcare interventions. This systematic review was conducted using the PRISMA 2020 guidelines. PubMed, SCOPUS, EBSCO, and Google Scholar databases were searched from January 1, 2000 to June 30, 2024 using keywords: medication errors, patient safety, and connected healthcare. A qualitative narrative analysis was conducted for the review. The detailed search yielded 9524 papers in total. In the process of duplicate removal, 4856 duplicate articles were found. After the removal of duplicate articles, 4615 were found not suitable or relevant to the topic of this study and were removed. Finally, 53 articles were chosen for the review study after screening and duplication removal. Ten of the 53 articles were review articles (18.9%), and 43 (81.1%) were original. The research indicates that various connected healthcare system technologies are more effective in minimizing errors and enhancing care quality. Integrating computerized physician order entry and clinical decision support systems may further reduce medical errors. However, many areas require additional research, and the outcomes are mixed. A balanced strategy that combines innovation, practical safety, and outcome evaluation is preferable.
用药错误或医疗失误是美国第三大死因，从处方开具到治疗给药的各个环节都可能发生，会产生严重的临床后果和成本影响。数字健康技术，如互联医疗系统，有潜力减少用药错误并提高患者安全性。本系统综述旨在寻找文献证据，以通过互联医疗干预措施提高患者安全性并减少用药错误。本系统综述采用PRISMA 2020指南进行。使用关键词“用药错误”“患者安全”和“互联医疗”，在2000年1月1日至2024年6月30日期间对PubMed、SCOPUS、EBSCO和谷歌学术数据库进行了检索。对综述进行了定性叙述分析。详细检索共得到9524篇论文。在去除重复项的过程中，发现了4856篇重复文章。去除重复文章后，发现4615篇不适合或与本研究主题不相关，予以剔除。最后，经过筛选和去除重复项，选择了53篇文章进行综述研究。53篇文章中有10篇为综述文章（18.9%），43篇（81.1%）为原创文章。研究表明，各种互联医疗系统技术在最大限度减少错误和提高护理质量方面更有效。整合计算机化医嘱录入和临床决策支持系统可能会进一步减少医疗错误。然而，许多领域需要更多研究，且结果不一。一种将创新、实际安全性和结果评估相结合的平衡策略更为可取。
