呼吸科药物准备过程中断及其影响因素研究

发布时间：2018-08-18 19:19

【摘要】：目的调查呼吸科护士在药物准备过程中被中断的相关因素,以更好地指导护士安全给药。方法2015年4月1日-5月15日对本院呼吸科护士进行连续观察。观察临床护士数、药物准备护士数、临床患者数、药物准备持续时间、准备的药物数等。同时采用"药物准备过程护理中断事件登记表"记录护理用药过程中发生的中断情况、中断次数、中断持续时间、是否离开配药室、中断来源及发生分布、是否导致用药差错等。结果本研究共观察了13例护士,平均每名护士负责(11.4±3.9)位患者,药物准备的持续时间(15.6±8.8)min,需准备的药物数量为(46.8±20.3)份。在147次观察中,有133次观察到药物准备过程被中断,出现3次中断的频率最高,为30.8%,2次中断占26.3%;中断持续时间1min占17.3%,1~4min占44.4%,5min占38.3%;中断后护士离开配药室的占26.3%,离开配药室的时间1 min占51.4%,≥1 min占48.6%;发生中断的原因主要来自患者(20.30%)、家属(27.07%)、其他护士(13.53%)、护士自身(3.76%)、医生(6.01%)、管理者(3.01%)、环境(22.56%)及其他因素(3.76%);在医嘱处理环节发生46次中断,占34.59%,药物配置环节发生33次中断,占24.81%,给药执行过程中发生42次中断,占31.58%,其他环节发生12次中断,占9.02%。中断导致的3例用药错误均为错误隐患事件,均未导致错误发生。患者数、药物准备总数、平均准备的药物数及平均每位护士负责的患者数与中断次数及中断时间呈正相关,P0.05。结论呼吸科药物准备护理中的被中断率较高,来源主要为患者及患者家属,合理控制每位护士负责的患者数量,对减少中断率具有重要意义。
[Abstract]:Objective to investigate the factors related to the interruption of respiratory nurses in the course of drug preparation so as to better guide nurses in the safe administration of drugs. Methods Nurses in respiratory department of our hospital were observed continuously from April 1 to May 15, 2015. The number of clinical nurses, the number of drug preparation nurses, the number of clinical patients, the duration of drug preparation and the number of drugs prepared were observed. At the same time, the "Registration form of Nursing interruption events in Drug preparation process" was used to record the interruptions, the number of interruptions, the duration of the interruptions, whether to leave the dispensing room, the source of the interruptions and the distribution of the interruptions. Whether or not to cause drug errors and so on. Results A total of 13 nurses were observed in this study. The average number of patients in charge of each nurse was (11.4 卤3.9). The duration of drug preparation was (15.6 卤8.8) min, and the number of drugs needed to be prepared was (46.8 卤20.3). Of the 147 observations, 133 observed that the drug preparation process was interrupted, with the highest frequency of three interruptions. The duration of interruption was 17.31min (44.4min) and 44.4min (38.3%). After the interruption, the nurses left the dispensing room (26.3min), the time of leaving the dispensing room (51.4 min) and 鈮，

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