广东省90家医院护士用药错误调查及影响因素分析

发布时间：2017-12-30 21:35

本文关键词：广东省90家医院护士用药错误调查及影响因素分析　出处：《护理研究》2017年12期 　论文类型：期刊论文

【摘要】：[目的]调查广东省各级医院护士用药错误现状及其影响因素,为制定用药错误的护理质量改善指引提供依据。[方法]采用便利抽样方法抽取广东省一级、二级、三级医院90家,采用自行设计的"护士用药错误影响因素调查表"对临床一线的1 528名护士进行问卷调查。[结果]231名(15.12%)护士过去1年内发生过用药错误,共计441例次;排名前5位的分别为用药时间错误、剂量错误、漏打漏发、病人错误、药物错误;医院级别、职称、工作环境、医院的发药系统、使用掌上电脑(PDA)扫描核对技术、主动上报、惩罚方式、整改分析是护士用药错误的主要影响因素,其中医院的发药系统、工作环境、医院级别及职称是主要影响因素;使用PDA扫描核对技术、建立主动上报、适当的惩罚及整改分析机制是护士用药错误的保护性因素。[结论]护士发生用药错误与多种因素有关,医院管理者应针对性地制定用药安全质量改进指引,降低护士用药错误,保障病人用药安全。
[Abstract]:[Objective] to investigate the status quo and influencing factors of drug use errors among nurses in hospitals at all levels in Guangdong Province, and to provide the basis for formulating guidelines for improving nursing quality. [Methods] the convenience sampling method was used to select 90 hospitals of first, second and third grade in Guangdong Province. The self-designed questionnaire of influencing factors of Drug use errors of Nurses was used to investigate 1 528 nurses in clinical front line. [Results] 231 nurses (15.12) had medication errors in the past year, a total of 441 times; The top 5 were time error, dosage error, missed occurrence, patient error and drug error. Hospital level, professional title, working environment, hospital drug delivery system, the use of PDA-scan check technology, active reporting, punishment, rectification and analysis are the main factors that affect the drug use errors of nurses. The distribution system, working environment, hospital grade and professional title are the main influencing factors. Using PDA scanning and checking technology, establishing active reporting, appropriate punishment and corrective analysis mechanism are the protective factors of nurses' medication errors. [Conclusion: the occurrence of drug errors among nurses is related to many factors. Hospital administrators should formulate guidelines to improve the safety and quality of drug use, reduce the errors of the use of drugs by nurses, and ensure the safety of drug use by patients.
【作者单位】：广东省医学科学院·广东省人民医院;广东省护理学会;广东省中山市人民医院;广东省江门市人民医院;广东省清远市人民医院;
【基金】：2015年广东省护理学会指令性课题,编号:YH20150101
【分类号】：R47
【正文快照】： 用药错误是指合格药品在临床使用全过程中出现的、任何可以防范的用药不当[1]。美国医学研究所数据表明:用药错误每年伤及150万人,导致35亿美元的额外医疗支出[2]。医疗责任索赔中用药错误居第2位,其中42%用药错误导致持久损害,21%用药错误导致死亡[3]。用药安全是关乎人类健

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