Improving medication safety in a Latin American hospital: Examination of medication errors and the role of pharmacists.

IF 2.1 4区 医学 Q3 PHARMACOLOGY & PHARMACY American Journal of Health-System Pharmacy Pub Date : 2025-01-06 DOI:10.1093/ajhp/zxae257
Esteban Zavaleta-Monestel, Alison Raquel Martínez-Rodríguez, Carolina Rojas-Chinchilla, José Pablo Díaz-Madriz, Sebastián Arguedas-Chacón, Beatriz Herrera-Solís, Bruno Serrano-Arias, Gary L Cochran
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改善拉丁美洲一家医院的用药安全:检查用药错误和药剂师的作用。
免责声明:为了加快文章的出版速度,AJHP在接受稿件后会尽快在网上发布。被录用的稿件已经过同行评审和校对,但在进行技术格式化和作者校对之前会在网上发布。这些稿件并非最终记录版本,将在稍后时间以最终文章(按照 AJHP 格式排版并由作者校对)取代。目的:在许多中南美洲国家,由临床药师进行前瞻性药单审核并不常见。自愿性的错误报告和分析同样也不常见。本文介绍了一家拉丁美洲医院的药剂师前瞻性医嘱审核、用药错误报告和质量改进活动的结果:2020 年 1 月 1 日,医院开始由药剂师对医院和诊所的所有用药单进行前瞻性审核。医院鼓励医务人员向医院的自愿报告计划报告发现的错误。收集的数据包括药物名称和剂量、用药流程阶段、错误严重程度和错误原因。药房工作人员会定期审查错误报告:在审查的 402100 份医嘱中,发现 605 份住院医嘱和 405 份门诊医嘱存在错误(0.25%)。大多数错误都是在到达病人手中之前被发现的(69.9% 的住院错误和 81.0% 的门诊错误)。处方阶段的错误比例最高(50.8% 的住院病人错误和 41.7% 的门诊错误)。处方错误最常见的原因是医嘱混乱和剂量错误。镇痛药(22.7%)和抗生素(21.3%)是最常见的药物类别。在汇总审查后,药剂师发出了 19 次临床警报,导致系统更改和员工教育:这项研究证明了药剂师对前瞻性医嘱审核对患者安全的影响。除了防止错误发生在患者身上,自愿错误报告和评估还促成了系统变革,以降低类似错误再次发生的可能性。
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来源期刊
CiteScore
2.90
自引率
18.50%
发文量
341
审稿时长
3-8 weeks
期刊介绍: The American Journal of Health-System Pharmacy (AJHP) is the official publication of the American Society of Health-System Pharmacists (ASHP). It publishes peer-reviewed scientific papers on contemporary drug therapy and pharmacy practice innovations in hospitals and health systems. With a circulation of more than 43,000, AJHP is the most widely recognized and respected clinical pharmacy journal in the world.
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