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題名:給藥錯誤事件綜論--急診室、加護中心、兒科病房
書刊名:護理雜誌
作者:吳祥鳳于漱藍雅慧唐福瑩
作者(外文):Wu, Hsiang-fengYu, ShuLan, Ya-huiTang, Fu-in
出版日期:2012
卷期:59:2
頁次:頁93-98
主題關鍵詞:給藥錯誤急診室加護中心兒科病房Medication errorsEmergency roomIntensive care unitPediatric ward
原始連結:連回原系統網址new window
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  • 被引用次數被引用次數:期刊(2) 博士論文(0) 專書(0) 專書論文(0)
  • 排除自我引用排除自我引用:2
  • 共同引用共同引用:0
  • 點閱點閱:106
病人用藥安全,是一個關係到病患照護品質與照護安全上的重要考量與全球性的議題,而其中最重要的目的是減少給藥錯誤的發生。本文藉由文獻查證,共歸納出三個容易給藥錯誤及導致病患傷害的單位;分別是急診室、加護中心、兒科病房。在急診室由於時間緊迫,缺乏病患的詳細病史,再加上多使用急救藥物,使得給藥錯誤率較一般病房高。在加護中心,由於病患處於低反應情境,加上用藥複雜且多使用高危險藥物,也使得加護中心的給藥錯誤率偏高。在兒科病房,由於劑量需按照小兒體重計算,然而部份護理人員因計算能力不佳而導致給藥錯誤。本文綜合整理上述三個單位的給藥錯誤文獻,提供護理人員參考,期待能增加護理人員對給藥錯誤此一議題的認知,並能落實執行給藥的標準作業程序。
Medication safety is a major concern worldwide that directly relates to patient care quality and safety. Reducing medication error incidents is a critical medication safety issue. This literature review article summarizes medication error issues related specifically to three hospital units, namely emergency rooms (ERs), intensive care units (ICUs), and pediatric wards. Time constrains, lack of patient history details and the frequent need to use rapid response life-saving medications are key factors behind high ER medication error rates. Patient hypo-responsiveness, complex medication administration and frequent need to use high-alert medications are key factors behind high ICU medication error rates. Medication error in pediatric wards are often linked to errors made by nurses in calculating dosage based on patient body weight. This article summarizes the major types of medication errors reported by these three units in order to increase nurse awareness of medication errors and further encourage nurses to apply proper standard operational procedures to medication administration.
期刊論文
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11.Abramson, N. S.、Wald, K. S.、Grenvik, A. N.、Robinson, D.、Snyder, J. V.(1980)。Adverse occurrences in intensive care units。The Journal of the American Medical Association,244(1),1582-1584。  new window
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13.Chappell, K.、Newman, C.(2004)。Potential tenfold drug overdoses on a neonatal unit。Archives of Disease in Childhood: Fetal and Neonatal Edition,89(6),F483-F484。  new window
14.Cottin, A. J.(2004)。Pediatric medication errors part 1: The case a pediatric drug overdose case。Pediatric Nursing,30(4),328-330。  new window
15.de Carvalho, M.、Vieira, A. A.(2002)。Medical errors in hospitalized patients。Jornal de Pediatria,78(4),261-268。  new window
16.Donchin, Y.、Gopher, D.、Olin, M.、Badihi, Y.、Biesky, M.、Sprung, C. L.、Cotev, S. et. al(2003)。A look into the nature and causes of human errors in the intensive care unit, 1995。Quality & Safety in Health Care,12(2),143-147。  new window
17.Durie, M.、Beckmann, U.、Baldwin, I.、Morrison, I.、Shaw, L.(1999)。An analysis of medication errors identified in the first 3800 incident reports submitted to the Australian incident monitoring study in intensive care (AIM-ICU)。Australian Critical Care,12(1),37。  new window
18.Engum, S. A.、Breckler, F. D.(2008)。An evaluation of medication errors-the pediatric surgical service experience。Journal of Pediatric Surgery,43(2),348-352。  new window
19.Fowler, S. B.、Sohler, P.、Zarillo, D. F.(2009)。Bar-code technology for medication administration: Medication errors and nurse satisfaction。MedSurg Nursing: Offical Journal of the Academy of Medical-Surgical Nurses,18(2),103-109。  new window
20.Hicks, R. W.、Becker, S. C.、Cousins, D. D.(2006)。Harmful medication errors in children: A 5-year analysis of data from the USP's MEDMARX program。Journal of Pediatric Nursing。  new window
21.Hohenhaus, S. M.(2008)。Emergency nursing and medical error-a survey of two states。Journal of Emergency Nursing,34(1),20-25。  new window
22.Hurley, A. C.、Bane, A.、Fotakis, S.、Duffy, M. E.、Sevigny, A.、Poon, E. G.、Gandhi, T. K.(2007)。Nurses’ satisfaction with medication administration point-of-care technology。Journal of Nursing Administration,37(7/8),343-349。  new window
23.Koren, G.、Haslam, R. H.(1994)。Pediatric medication errors: Predicting and preventing tenfold disasters。Journal of Clinical Pharmacology,34(11),1043-1045。  new window
24.Marcin, J. P.、Dharmar, M.、Cho, M.、Seifert, L. L.、Cook, J. L.、Cole, S. L.、Romano, P. S.(2007)。Medication errors among acutely ill and injured children treated in rural emergency departments。Annals of Emergency Medicine,50(4),361-367。  new window
25.Otero, P.、Leyton, A.、Mariani, G.、Ceriani Cernadas, J. M.、Patient Safety Committee(2008)。Medication errors in pediatric inpatients: Prevalence and results of a prevention program。Pediatrics,122(3),e737-e743。  new window
26.Pham, J. C.、Story, J. L.、Hicks, R. W.、Shore, A. D.、Morlock, L. L.、Cheung, D. S.、Pronovost, P. J.(2011)。National study on the frequency, types, causes, and consequences of voluntarily reported emergency department medication errors。The Journal of Emergency Medicine,40(5),485-492。  new window
27.Ross, L. M.、Wallace, J.、Paton, J. Y.(2000)。Medication errors in a paediatric teaching hospital in the UK: Five years operational experience。Archives of Disease in Childhood,83(6),492-497。  new window
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圖書
1.Kohn, L. T.、Corrigan, J. M.、Donaldson, M.(1999)。To Error Is Human: Building A Safer Health System。Washington, DC:Institute of Medicine。  new window
其他
1.Taiwan Joint Commission on Hospital Accreditation(2006)。Establishment of a safe environment for patients。  new window
 
 
 
 
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