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通过强化事件报告系统改善药物管理。

Improving medication administration through an enhanced occurrence reporting system.

作者信息

Day G, Hindmarsh J, Hojna C, Roy G, Ventimiglia N

机构信息

Department of Nursing Administration, Bon Secours Hospital, Grosse Pointe, MI.

出版信息

J Nurs Care Qual. 1994 Oct;9(1):51-6. doi: 10.1097/00001786-199410000-00008.

DOI:10.1097/00001786-199410000-00008
PMID:7994071
Abstract

Accurate data about medication errors are essential to prevention efforts. A multidisciplinary team at Bon Secours Hospital trialed an innovative method of reporting medication errors. It increased the number of reported medication errors six times compared with the same time period for the previous year on the pilot unit. It also saved time for the person reporting the error. The continuous quality improvement methodology was used to implement the new process.

摘要

关于用药错误的准确数据对于预防工作至关重要。博纳·塞库尔斯医院的一个多学科团队试验了一种报告用药错误的创新方法。与试点病房上一年同期相比,报告的用药错误数量增加了六倍。这也为报告错误的人节省了时间。采用了持续质量改进方法来实施新流程。

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Systems factors in the reporting of serious medication errors in hospitals.医院中严重用药错误报告的系统因素。
J Med Syst. 2003 Dec;27(6):543-51. doi: 10.1023/a:1025985832133.