临床用药安全核查项目管理的研究
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男,硕士,主管护师

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Strategies to improve checking procedures during medication administration
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    目的 提高护理人员临床用药过程中安全核查落实率,提升患者用药安全。方法 设计并实施包含护理安全核查概念导入、 概念感知、概念学习、概念外化及概念践行五大步骤的项目管理方案,对护士临床用药实践中的安全核查进行为期6个月的干预。 随机抽取32个临床科室623名护士比较干预前后临床用药安全核查落实情况。结果 干预后,核查制度及医嘱处理、摆药、配药、 给药4个环节核查落实率,PDA 规范扫描落实率显著高于干预前(均P<0.01)。结论 从护士角度设计干预措施并实施,能有效 提高护士 PDA 规范扫描落实率,改善护士用药护理安全核查的落实,有助于促进患者用药安全。

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    Objective To improve nurses′ adherence to practice of checking during the administration of medicines, and to ensure medication safety. Methods A comprehensive intervention program was designed and implemented, including 5 steps of introduction of patient safety and checking, and then perception,learning, externalization, and clinical practice. A total of 623 nurses were randomly selected from 32 departments to measure the effect after 6 months of intervention. Results The overall adherence to practice of checking during administration of medicines and the adherence to practice of check during managing medical order, placing medicines, preparing medicines and administrating medicines, as well as the use of personal digital assistant (PDA) in checking were significantly enhanced after the intervention (P<0.01 for all). Conclusion Implementing intervention measures designed from nurses′ perspectives can effectively enhance PDA use in checking and adherence to practice of checking during the whole administration process, thus to ensure medication safety.

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席新学,胡露红,吴德芳.临床用药安全核查项目管理的研究[J].护理学杂志,2019,34(18):87-90

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  • 收稿日期:2019-04-08
  • 最后修改日期:2019-06-22
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  • 在线发布日期: 2022-08-09