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在高度专业化科室调整用药差错调查的步骤——波兰视角

Steps to Adapt the Medication Administration Error Survey in Highly Specialised Units-Polish Perspectives.

作者信息

Kwiecień-Jaguś Katarzyna, Mędrzycka-Dąbrowska Wioletta, Kopeć Monika

机构信息

Department of Anaesthesiology Nursing & Intensive Care, Faculty of Health Sciences, Medical University of Gdansk, 80-211 Gdansk, Poland.

Department of Human Nutrition, University Warmia and Mazury, 10-045 Olsztyn, Poland.

出版信息

Nurs Rep. 2025 May 14;15(5):173. doi: 10.3390/nursrep15050173.

Abstract

Medication errors are a critical issue in healthcare systems worldwide, contributing to significant patient harm, with studies indicating that medication-related incidents are among the most common causes of adverse events in medical practice. There are between 80 and 200 steps in providing a single patient with a single dose of drugs, with five stages, including prescription, preparation, dispensation, administration and monitoring. This study aims to describe and validate the MAEs (Medication Administration Error Scale) tool, which investigates the most common causes of medication errors in medication administration. Independent translators translated the original version of the scale using language verification. The agreed-upon version of the translation was then assessed by a team of nurses, specialists in anaesthetic and intensive care nursing, in terms of understanding the translated content. After introducing changes resulting from linguistic and organisational differences, a survey questionnaire was prepared and used in the pilot study. Eighty-six respondents participated in the pilot study via the Office 365 platform and the Forms programme. The research was led by nurses who work in highly specialised units. The reliability of the translated version of the questionnaire was examined by calculating the Cronbach's alpha coefficient. : The tool's internal consistency across ranges was within acceptable limits. For part A (questions 1-29), it was 0.93; for part B (questions 30-45), it was 0.94. In part C, regarding the percentages of the type of error occurring in a given medical facility, Cronbach's alpha coefficient was 0.97. When the factor loadings of the items were evaluated, they were determined to be in the range of 0.602-0.783. In this context, the factor loading levels of the items in the 5-factor model were high and sufficient. The statistical analyses suggest that the Polish version of the Medication Administration Error Survey demonstrates satisfactory reliability and is a promising tool for assessing the cause of medication administration errors.

摘要

用药错误是全球医疗系统中的一个关键问题,会对患者造成严重伤害。研究表明,用药相关事件是医疗实践中不良事件的最常见原因之一。为一名患者提供一剂药物的过程中有80至200个步骤,分为五个阶段,包括处方、调配、分发、给药和监测。本研究旨在描述和验证用药错误量表(MAEs,Medication Administration Error Scale)工具,该工具用于调查给药过程中用药错误的最常见原因。独立翻译人员使用语言验证方法翻译了该量表的原始版本。然后,一组护士、麻醉和重症监护护理专家对商定的翻译版本进行了理解评估。在引入因语言和组织差异而产生的更改后,编制了一份调查问卷并用于试点研究。86名受访者通过Office 365平台和Forms程序参与了试点研究。该研究由在高度专业化科室工作的护士主导。通过计算克朗巴哈α系数来检验问卷翻译版本的信度。该工具在各个范围内的内部一致性均在可接受范围内。对于A部分(问题1 - 29),系数为0.93;对于B部分(问题30 - 45),系数为0.94。在C部分,关于特定医疗机构中发生的错误类型的百分比,克朗巴哈α系数为0.97。当评估项目的因子载荷时,确定其范围为0.602 - 0.783。在此背景下,五因素模型中项目的因子载荷水平较高且足够。统计分析表明,波兰语版的用药错误调查问卷具有令人满意的信度,是评估给药错误原因的一个有前景的工具。

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