某地区医院护士对用药差错的反思内容分析

IF 1.2 4区 医学 Q3 NURSING Contemporary Nurse Pub Date : 2023-06-01 DOI:10.1080/10376178.2023.2220432
Anton Isaacs, Anita Raymond, Bethany Kent
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引用次数: 0

摘要

背景:用药错误(MEs)一直是国内外关注的一个领域。方法:对澳大利亚某地区教学医院护士在5年时间内完成的68份详细说明用药错误原因的反思总结进行分析。结果:从与人为因素框架的三个主要类别相一致的数据中产生了15个代码。它们是:个人特征,如缺乏经验、压力和缺乏知识(5个代码);工作性质,如处方错误、时间压力、沟通不畅、交接不畅和文件错误(9个代码);物理环境,如分心(1个代码)。个体特征是最常报告的错误原因(51.6%)。结论:提供医学信息资源和管理护士工作量,以及通过模拟“真实生活”临床环境加强研究生护士教育是干预的主要目标。
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Content analysis of nurses' reflections on medication errors in a regional hospital.

Background: Medication errors [MEs] continue to be an area of concern both nationally and internationally.

Methods: Sixty-eight reflective summaries detailing reasons for medication errors completed by nurses at an Australian regional teaching hospital during a five-year period were analysed.

Results: Fifteen codes emerged from the data that aligned to three main categories of the Human Factors Framework. They were: Individual characteristics such as inexperience, stress and lack of knowledge (5 codes), Nature of the work such as prescription errors, time pressure, miscommunication, poor handover and documentation errors (9 codes) and Physical environment such as distractions (1 code). Individual characteristics were the most frequently reported (51.6%) reasons for the error.

Conclusions: Provision of medicine information resources and management of nurses' workload as well as enhancing graduate nurse education with simulation of 'real life' clinical settings appear to be the main targets for intervention.

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来源期刊
Contemporary Nurse
Contemporary Nurse 医学-护理
CiteScore
2.00
自引率
6.20%
发文量
38
审稿时长
6-12 weeks
期刊介绍: Contemporary Nurse is an international peer-reviewed journal designed to increase nursing skills, knowledge and communication, assist in professional development and to enhance educational standards by publishing stimulating, informative and useful articles on a range of issues influencing professional nursing research, teaching and practice. Contemporary Nurse is a forum for nursing educators, researchers and professionals who require high-quality, peer-reviewed research on emerging research fronts, perspectives and protocols, community and family health, cross-cultural research, recruitment, retention, education, training and practitioner perspectives. Contemporary Nurse publishes original research articles, reviews and discussion papers.
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