中国卫生质量管理2024,Vol.31Issue(1) :53-57.DOI:10.13912/j.cnki.chqm.2024.31.1.12

防范儿童住院患者给药错误的最佳证据总结

Best Evidence on Prevention of Drug Administration Errors in Pediatric Inpatients

杨芹 李凤婷 王旭梅 曹旺 迟巍
中国卫生质量管理2024,Vol.31Issue(1) :53-57.DOI:10.13912/j.cnki.chqm.2024.31.1.12

防范儿童住院患者给药错误的最佳证据总结

Best Evidence on Prevention of Drug Administration Errors in Pediatric Inpatients

杨芹 1李凤婷 1王旭梅 1曹旺 1迟巍1
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作者信息

  • 1. 首都医科大学附属北京儿童医院 北京 100045
  • 折叠

摘要

目的 总结儿童用药给药错误管理与预防的最佳实践证据,为临床用药提供参考.方法 根据澳大利亚JBI循证卫生保健中心的问题开发工具构建循证问题,检索用药错误相关指南和共识,由研究者对纳入文献进行质量评价,对符合质量标准的文献进行证据提取和汇总.结果 共纳入文献 9 篇,包括循证指南 2 篇,专家共识 7 篇.最终从管理、环境与设备、标签、信息、核查、医嘱、给药、高危药品管理等方面共总结 34 条最佳证据.结论 防范儿童用药给药错误证据较全面,纳入指南质量相对较高,但儿科人群指南尚不足,且防范儿童给药错误偏重剂量错误的预防,未来需开展更多用药错误类型的防范策略研究.

Abstract

Objective To summarize the best practice evidence of management and prevention of drug administra-tion errors in children,and provide reference for clinical drug use.Methods Evidence-based questions were construc-ted according to the problem development tool of JBI Evidence-Based Health Care Center in Australia.Guidelines and consensus related to medication errors were searched.The quality of the included literatures was evaluated by research-ers,and the literatures meeting the quality standards were extracted and summarized.Results A total of 9 literatures were included,including 2 guidelines and 7 expert consensus articles.Finally,a total of 34 best evidences were summa-rized from the aspects of management,environment and equipment,labeling,information,verification,medical advice,administration,high-risk drug management,etc.Conclusion The evidence for prevention of drug administration er-rors in children is comprehensive,and the quality of inclusion guidelines is relatively high,but the guidelines for pediatric population are insufficient,and the prevention of drug administration errors in children is more important than the pre-vention of dose errors.In the future,more research on prevention strategies for drug administration errors should be car-ried out.

关键词

儿童住院患者/用药错误/用药安全/给药错误/预防

Key words

Pediatric Inpatients/Medication Errors/Medication Safety/Drug Administration Errors/Prevention

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基金项目

北京市属医院科研培育计划(PX2020050)

北京儿童医院护理专项(202201)

中华医学会杂志社护理学科研究课题(CMAPH-NRI2022050)

出版年

2024
中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
参考文献量13
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