临床用药安全核查规范执行率指标的构建及应用
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女,硕士,主任护师,科护士长

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Development and application of indicators for standardizing medication checking procedures
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    目的 构建临床用药安全核查规范执行率指标,规范护士核查行为,保障用药安全。 方法 以7个护理单元的200名护士为研究对象,明确临床用药安全核查存在的问题,建立临床用药安全核查规范执行率指标及核查清单,开展多模式多途径强化培训,基于指标实施持续质量改进。 结果 实施前、后各查检4 200人次;临床用药安全核查规范执行率从90.67%升至95.31%,差异有统计学意义(P<0.05);实施前后均无临床用药错误的不良事件发生。 结论 临床用药安全核查规范执行率指标的构建及应用,可规范护士查对行为,保障临床用药安全。

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    Objective To formulate indicators for standardizing medication checking procedures, and to standardize nurses′ checking behavior prior to administration and ensure medication safety. Methods Two hundred nurses working in 7 nursing units were included in this study.We identified problems in checking process prior to medication administration, then developed indicators and checklist to standardize the checking procedures, provided multi-modal and multi-channel training for nurses, and implemented continuous quality improvement based on the indicators. Results We performed 4,200 inspections in 200 nurses′ medication administration process before and after the intervention, respectively. The rate of standardized checking was increased from 90.67% to 95.31%, showing significant difference (P<0.05).No medication error occurred before and after the intervention. Conclusion Development and application of indicators to standardize checking procedures in medication administration can standardize nurses′ checking behavior and guarantee medication safety.

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黄天雯,李小银,张伟玲,黄晓敏,蒋小雅,方丽璇,成守珍.临床用药安全核查规范执行率指标的构建及应用[J].护理学杂志,2022,37(17):60-62

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  • 收稿日期:2022-04-08
  • 最后修改日期:2022-06-01
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  • 在线发布日期: 2023-08-29