Ansari M Z, Collopy B T, Brosi J A
ACHS Care Evaluation Program, St Vincents Hospital, Fitzroy, Vic., Australia.
J Qual Clin Pract. 1995 Sep;15(3):183-90.
This study reports on early results following the introduction of one measure of medication prescription errors, that being the prescribing of a drug for which there is an 'alert' notice, into The Australian Council on Healthcare Standards Accreditation process. Characteristics of hospitals reporting of zero and non-zero errors were analysed using a logistic model. After adjusting for other hospital characteristics and duration of data collection, hospitals over 100 beds were more likely to report medication errors compared to hospitals with 1-100 beds. Reporting of these prescribing errors was not associated with the particular type or location of the hospital. However, as a result of monitoring of this indicator, a number of hospitals reported an increase in their quality assurance activities. It is a sentinel event and not a rate based indicator and, as a performance measure, is of greater value as an internal, rather than external, review mechanism.
本研究报告了将一项药物处方错误衡量指标（即开具存在“警示”通知的药物）引入澳大利亚医疗保健标准委员会认证程序后的早期结果。使用逻辑模型分析了报告零错误和非零错误的医院的特征。在对其他医院特征和数据收集时长进行调整后，与拥有1至100张床位的医院相比，拥有100张以上床位的医院更有可能报告用药错误。这些处方错误的报告与医院的特定类型或地点无关。然而，作为对该指标监测的结果，一些医院报告其质量保证活动有所增加。这是一个警戒事件，而非基于比率的指标，并且作为一项绩效衡量标准，作为内部而非外部审查机制具有更大价值。
