Evaluation of errors in preparation and administration of intravenous medications in critically ill patients.

IF 0.9 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH

INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE Pub Date : 2023-01-01 DOI:10.3233/JRS-220054

Yousif B Hamadalneel, Maha M Maatoug, Mirghani A Yousif

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引用次数: 0

Abstract

Background: Intravenous medications have greater complexity and require multiple steps in their preparation and administration, which is considered a high risk for patients.

Objective: To determine the incidence of intravenous medications preparation and administration errors in critically ill patients.

Methods: This was an observational, cross-sectional, prospective study design. The study was performed in Wad Medani Emergency Hospital, Sudan .

Results: All nurses working at the study setting were observed over nine days. During the study period, a total number of 236 drugs were observed and evaluated. The total error rate was 940 (33.4%), of which 136 (57.6%) errors with no harm, 93 (39.4%) errors with harm and 7 (3%) of errors associated with mortality. 17 different drug categories were involved, in which antibiotic was the highest error rate 104 (44.1%) and 39 different drugs were involved, in which metronidazole was the most drug involved 34 (14.4%). The total error rate was associated with nurse experience, OR (95% CI); 3.235 (1.834-5.706), and nurse education level, OR (95% CI); 0.125 (0.052-0.299).

Conclusion: The study reported high frequency of IV medications preparation and administration errors. Nurse education level, and experiences were influenced the total errors.

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评估危重病人静脉注射药物的准备和用药错误。

背景：静脉用药具有更高的复杂性，在准备和给药过程中需要多个步骤，这被认为是患者的高风险：方法：这是一项观察性、横断面、前瞻性研究：这是一项观察性、横断面、前瞻性研究。研究在苏丹 Wad Medani 急救医院进行：对在研究地点工作的所有护士进行了为期九天的观察。在研究期间，共观察和评估了 236 种药物。总错误率为 940 (33.4%)，其中 136 (57.6%) 次错误没有造成伤害，93 (39.4%) 次错误造成伤害，7 (3%) 次错误导致死亡。涉及 17 种不同的药物类别，其中抗生素的错误率最高，为 104 例（44.1%）；涉及 39 种不同的药物，其中甲硝唑的错误率最高，为 34 例（14.4%）。总出错率与护士经验相关，OR（95% CI）为 3.235（1.834-5.706），与护士教育水平相关，OR（95% CI）为 0.125（0.052-0.299）：研究报告显示，静脉用药准备和用药错误的发生率很高。护士的教育水平和经验影响了错误总数。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

INTERNATIONAL JOURNAL OF RISK & SAFETY IN MEDICINE PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-

CiteScore

2.20

自引率

17.60%

发文量

102

期刊介绍： The International Journal of Risk and Safety in Medicine is concerned with rendering the practice of medicine as safe as it can be; that involves promoting the highest possible quality of care, but also examining how those risks which are inevitable can be contained and managed. This is not exclusively a drugs journal. Recently it was decided to include in the subtitle of the journal three items to better indicate the scope of the journal, i.e. patient safety, pharmacovigilance and liability and the Editorial Board was adjusted accordingly. For each of these sections an Associate Editor was invited. We especially want to emphasize patient safety.