从护理中与用药错误有关的医疗纠纷分析中学到什么。

Pub Date : 2023-01-01 DOI:10.3233/JRS-220034
Min Ji Kim, Won Lee
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引用次数: 0

摘要

背景:护士是预防药物错误(ME)的最后保障,也是预防药物错误的最后机会,通过管理药物在患者安全方面发挥着至关重要的作用。目的:介绍韩国医疗纠纷案件的特点、用药信息、医疗纠纷的阶段和类型。方法:对韩国27例医疗纠纷案件进行描述性分析。结果:本研究中约77.7%的患者因医疗纠纷而遭受严重伤害或死亡。药物类型包括抗焦虑药和镇痛药,其中51.9%为高警戒药物。在给药错误的病例中,给药前后未能对患者进行评估是最常见的错误,其次是给药剂量错误。结论:护士应履行职责,通过监测患者用药后的情况,确保安全,提高护理质量,并准备迅速采取行动减少危害。
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What to learn from analysis of medical disputes related to medication errors in nursing care.

Background: Nurses, who are the last safeguard against and have the final opportunity to prevent medication errors (MEs), play a vital role in patient safety by managing medications.

Objective: This study described the characteristics of medical dispute cases, medication information, and stage and types of MEs in Korea.

Methods: We performed a descriptive analysis of 27 medical dispute cases related to MEs in nursing care in Korea.

Results: Around 77.7% of patients suffered serious harm or died due to MEs in this study. The types of medications included anxiolytics and analgesics, and 51.9% of them were high-alert medications. Among cases of administration errors, failure to patient assessment before and after administration was the most common error followed by administering the wrong dose.

Conclusion: Nurses should perform their duties to ensure safety and improve the quality of nursing care by monitoring patients after administering medications and should be prepared to take quick action to reduce harm.

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