各国医院用药差错发生率综述:文献综述

Anisa Eka Amalia, Masyitoh Basabih
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引用次数: 0

摘要

背景:用药差错是导致医院患者安全事故的最常见的差错类型之一。除了大量病例和高昂的费用外,药物错误还在许多国家造成死亡。目的:本研究描述了各国医院用药错误的发生率,确定了发生最多的错误阶段,并描述了医院用药错误的预防策略。方法:本研究于2021年4月- 2021年7月进行,采用文献复习法。数据检索自ProQuest、ScienceDirect、PubMed、b谷歌Scholar和Garuda RistekBRIN。根据用药差错发生率和预防策略对数据进行归纳和提取。结果:在纳入的11项研究中,尼日利亚进行的一项研究的用药错误发生率最高(80%)。11项研究中有4项是在印度进行的,发病率各不相同。大多数错误发生在处方阶段。报告的数量和事件的数量实际上没有关联。可以说,报告数量多的国家有良好的报告指标。预防用药错误的策略包括在CPOE(计算机化医嘱输入)表单中实施信息系统,并为工作人员提供培训。结论:发展中国家与发达国家在用药差错发生率上存在差异,其原因可归结为卫生保健制度的因素,以及发展中国家较低的处方比例和护士比例。关键词:文献综述,用药错误,患者安全
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OVERVIEW OF MEDICATION ERROR INCIDENCE IN HOSPITALS IN VARIOUS COUNTRIES: LITERATURE REVIEW
Background: Medication error is one of the most common types of errors contributing to patient safety incidents in hospitals. In addition to their numerous cases and high costs, medication errors also contribute to deaths in various countries. Aims: This study describes the incidence of medication errors in hospitals in various countries, determines the phase of errors that occurred the most, and describes preventive strategies for medication errors in hospitals. Methods: This study was conducted between April 2021-July 2021 using the literature review method. Data were retrieved from ProQuest, ScienceDirect, PubMed, Google Scholar, and Garuda RistekBRIN. The data are generalized and extracted in a table based on the incidence of medication errors and preventive strategies. Results: Of the eleven included studies, the incidence of medication errors in one study conducted in Nigeria was the highest (80%). Four of the eleven studies were conducted in India with varying incidence rates. Most errors occurred during the prescribing stage. The number of reports and the number of events actually have no relevance. It can be said that countries with a high number of reporting have good reporting indicators. Strategies for preventing medication errors include the implementation of an information system in the CPOE (Computerized Physician Order Entry) form and providing training for staff. Conclusion: The difference in the incidence of medication errors in developing and developed economies can be attributed to factors in the healthcare system and the lower prescribing ratio and nurse ratio in developing countries. Keywords: literature review, medication errors, patient safety
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来源期刊
CiteScore
2.70
自引率
0.00%
发文量
16
审稿时长
8 weeks
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