資料載入處理中...
臺灣人文及社會科學引文索引資料庫系統
:::
網站導覽
國圖首頁
聯絡我們
操作說明
English
行動版
(3.149.254.48)
登入
字型:
**字體大小變更功能,需開啟瀏覽器的JAVASCRIPT,如您的瀏覽器不支援,
IE6請利用鍵盤按住ALT鍵 + V → X → (G)最大(L)較大(M)中(S)較小(A)小,來選擇適合您的文字大小,
如為IE7以上、Firefoxy或Chrome瀏覽器則可利用鍵盤 Ctrl + (+)放大 (-)縮小來改變字型大小。
來源文獻查詢
引文查詢
瀏覽查詢
作者權威檔
引用/點閱統計
我的研究室
資料庫說明
相關網站
來源文獻查詢
/
簡易查詢
/
查詢結果列表
/
詳目列表
:::
詳目顯示
第 1 筆 / 總合 1 筆
/1
頁
來源文獻資料
摘要
外文摘要
引文資料
題名:
應用根本原因分析於提升嬰兒連續性靜脈給藥安全之改善專案
書刊名:
護理雜誌
作者:
錢佳慧
/
楊雅玲
/
范圭玲
作者(外文):
Chien, Chia-hui
/
Yang, Ya-ling
/
Fann, Guei-ling
出版日期:
2014
卷期:
61:2(附冊)
頁次:
頁14-23
主題關鍵詞:
連續性靜脈給藥
;
藥物不良事件
;
根本原因分析
;
給藥安全
;
嬰兒
;
Continuous intravenous drug infusion
;
Adverse medication event
;
Root cause analysis
;
Medication safety
;
Infants
原始連結:
連回原系統網址
相關次數:
被引用次數:期刊(
1
) 博士論文(0) 專書(0) 專書論文(0)
排除自我引用:
1
共同引用:
2
點閱:7
背景:2010年嬰兒加護單位因連續性靜脈給藥劑量錯誤,導致嬰兒傷害事件。經品管小組運用根本原因分析法,歸納出藥物不良事件之原因,包括:醫師處方開立程序不正確及內容不完整、護理師執行連續性靜脈給藥步驟不完整、確認醫囑的流程複雜、手抄醫囑於治療單不僅耗時且易抄錯、護理師專業認知不足等組織系統方面的缺失。目的:期能達成護理師執行連續性靜脈給藥步驟完整率為100%,給藥異常事件為0件。解決方案:改善策略包含:簡化確認醫囑流程、制定醫師處方規範、制定標準化連續性靜脈給藥步驟、規範連續性靜脈給藥劑量之配製藥量,與建制高警訊藥物雙人核對機制。除循序建立上述之改善措施外,同時提供單位護理師相關教育訓練,以落實方案執行。結果:經計畫至執行後,評值改善策略之成效,發現給藥步驟完整率提升至99%,醫師處方開立正確率提升為96%;評值期間無藥物不良事件發生。結論:本專案建立之系統性安全給藥機制,可增進醫護照護團隊間溝通與合作,進而提升嬰兒給藥安全及品質。
以文找文
Background & Problems: An adverse medication event involving a continuous drug infusion dosage error was reported in the infant intensive care unit of our hospital in 2010. The causes of this adverse medication event were elicited in the healthcare network using root cause analysis. These causes included incomplete procedures and incorrect prescription, an incomplete procedure of medication in continuous drug infusion, complex procedures in confirming prescription, the transcription of doctor's orders and prescription (i.e., kardex), and deficient knowledge of medication procedures exhibited by clinical nurses.Purposes: The main purpose of this project was to achieve a 100% completion rate for nurse administrations of continuous intravenous medication and zero adverse medication events.Resolutions: Strategies included simplifying the prescription verification process, establishing regulations for drug prescription, standardizing the steps required for continuous intravenous medication administration, developing the dosage criteria for continuous intravenous medication, and developing a double-check mechanism for high-risk medications. In addition, relevant nurse's continuous educational programs were provided to help nurses effectively implement drug administration.Results: The completion rate for administering the medication steps has increased to 99% and the compliance rate for pediatricians' orders regarding medication prescription has increased to 96%. Furthermore, no additional adverse medication events were observed after the intervention.Conclusion: This project established a systemic drug administration mechanism to promote communication and cooperation among healthcare teams and further enhanced medication safety and quality for infants.
以文找文
期刊論文
1.
黃莉蓉(20100100)。臺灣病人安全通報系統藥物事件之分析。醫療品質雜誌,4(1),61-67。
延伸查詢
2.
AI-Jeraisy, M. I.、Alanazi, M. Q.、Abolfotouh, M. A.(2011)。Medication prescribing errors in a pediatric inpatient tertiary care setting in Saudi Arabia。BioMed Central Research Notes,14(4),294-301。
3.
Alexander, D. C.、Bundy, D. G.、Shore, A. D.、Morlock, L.、Hicks, R. W.、Miller, M. R.(2009)。Cardiovascular medication errors in children。Pediatrics,124(1),324-332。
4.
Benkirane, R. R.、R-Abougal, R.、Haimeur, C. C.、S. Ech. Cherif El Kettani, S. S.、Azzouzi, A. A.、M’daghri Alaoui, A. A.、Soulaymani, R. R.(2009)。Incidence of adverse drug events and medication errors in intensive care units: A prospective multicenter study。Journal of Patient Safety,5(1),16-22。
5.
Hanna, G. M.、Levine, W. C.(2011)。Medication safety in the perioperative setting。Anesthesiology Clinics,29(1),135-144。
6.
Hilmas, E.、Sowan, A.、Gaffoor, M.、Vaidya, V.(2010)。Implementation and evaluation of comprehensive system to deliver pediatric continuous infusion medications with standardized concentrations。American Journal of Health-System Pharmacy,67(1),58-69。
7.
Kunac, D. L.、Kennedy, J.、Austin, N.、Reith, D.(2009)。Incidence, preventability, and impact of Adverse Drug Events (ADEs) and potential ADEs in hospitalized children in New Zealand: A prospective observational cohort study。Paediatric Drugs,11(2),153-160。
8.
Sowan, A. K.、Gaffoor, M. I.、Soeken, K.、Johantgen, M. E.、Vaidya, V. U.(2010)。Impact of computerized order for pediatric continuous drug infusions on detecting infusion pump programming errors: A simulated study。Journal of Pediatr ic Nursing,25(2),108-118。
9.
Sowan, A. K.、Vaidya, V. U.、Soeken, K. L.、Hilmas, E.(2010)。Computerized orders with standardized concentrations decrease dispensing errors of continuous infusion medications for pediatrics。The Journal of Pediatric Pharmacology and Therapeutics,5(3),189-202。
10.
van Doormaal, J. E.、van den Bemt, P M.、Zaal, R. J.、Egberts, A. C.、Lenderink, B. W.、Kosterink, J. G.、Mol, P. G.(2009)。The influence that electronic prescribing has on medication errors and preventable adverse drug events an interrupted time-series study。Journal of the American Medical Informatics Association,16(6),816-825。
11.
van Rosse, F.、Maat, B.、Rademaker, C. M. A.、van Vught, A. J.、Egberts, A. C. G.、Bollen, C. W.(2009)。The effect of computerized physician order entry on medication prescription errors and clinical outcome in pediatric and intensive care: A systematic review。Pediatrics,123(4),1184-1190。
12.
Walsh, K. E.、Adams, W. G.、Bauchner, H.、Vinci, R. J.、Chessare, J. B.、Cooper, M. R.、Landrigan, C. P.(2006)。Medication errors related to computerized order entry for children。Pediatrics,118(5),1872-1879。
13.
Otero, P.、Leyton, A.、Mariani, G.、Ceriani Cernadas, J. M.(2008)。Medication errors in pediatric inpatients: prevalence and result of a prevention program。Pediatrics,122(3),737-743。
14.
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。
會議論文
1.
Sowan, A. K.、Gaffoor, M.、Soeken, K.、Mills, M. E.、Johantgen, M.、Vaidya, V.(2006)。A comparison of medication administrations errors using CPOE orders VS. handwritten orders for pediatric continuous drug infusions1105。
圖書
1.
衛生福利部、財團法人醫院評鑑暨醫療品質策進會(2010)。臺灣病人安全通報系統2009年年報。行政院。
延伸查詢
推文
當script無法執行時可按︰
推文
推薦
當script無法執行時可按︰
推薦
引用網址
當script無法執行時可按︰
引用網址
引用嵌入語法
當script無法執行時可按︰
引用嵌入語法
轉寄
當script無法執行時可按︰
轉寄
top
:::
相關期刊
相關論文
相關專書
相關著作
熱門點閱
1.
中部某醫學中心護理人員給藥錯誤現況及其相關因素探討
2.
兒科加護病房靜脈安全給藥之改善專案
3.
心臟血管病房護理人員執行靜脈藥物劑量計算之改善方案
4.
臺灣病人安全通報系統藥物事件之分析
無相關博士論文
無相關書籍
無相關著作
1.
照顧一位表皮溶解水皰症新生兒之傷口護理經驗
2.
衛生教育的新策略--學習檔案
3.
預防手術後壓瘡照護流程之發展
4.
提升資訊化條碼系統給藥執行率專案
5.
降低重症病房腹瀉病人失禁性皮膚炎發生率
6.
不同時期結直腸癌病人症狀困擾、憂鬱與生活品質關係之探討
7.
神經系統護理案例概念圖教學對學生認知成效評量之研究
8.
阻塞性睡眠呼吸中止症婦女之生活經驗
9.
運用德菲法建構腦中風急性後期照護護理人員應具備之核心能力
10.
穴位按壓與實證護理
11.
耳穴貼壓於護理實務及實證研究之應用
12.
中醫運動養生氣功之理論與實務
13.
女性三陰交穴位施灸的生理意義與護理應用
14.
應用足三里穴位按摩改善結腸切除術後病人腹脹感之護理經驗
15.
發展性照護之理論發展與研究趨勢
QR Code