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【medical-news】减少矫形外科和脊柱外科药物使用
Weiner BK, Venarske J, Yu M, Mathis K.
STUDY DESIGN: Evaluation of medication ordering errors discovered on an orthopedic/spinal in-patient hospital unit and efforts initiated to reduce them.
OBJECTIVE.: In this study the authors aimed to assess the frequency of medication ordering errors and to examine the impact of local measures set forth to reduce their occurrence.
SUMMARY OF BACKGROUND DATA: Since the release of the 2000 Institute of Health report: "To Err is Human"; in-hospital medical errors have been recognized as being unacceptably high; the consequence being preventable death rates estimated near 125,000 patients per year. The most common of errors are those involving medications.
METHODS: The study consisted of 2 parts. In part 1, the charts from 82 consecutive patients admitted to the Orthopedic/Spine Surgical Unit were assessed to determine the frequency, type, and potential severity of medication ordering errors. Several programs to reduce such errors were subsequently instituted and included: improved chart surveillance by pharmacists, a newly developed medication/history form given to and reviewed with patients before surgery, in-service education of preoperative nursing staff, patient database form changes, and requests for patients to bring their medications on admission. Part 2, including 87 patients, assessed the impact of these measures.
RESULTS: In part 1, medication errors were detected in 62% of orders overall. Of these, 43% were found to be of moderate or high potential for harm. After the institution of the above measures (part 2), overall errors were reduced by 31%; moderate/high risk potential harm was reduced by 64%; and errors of omission were detected twice as often.
CONCLUSION: Medication errors in ordering are common in orthopedics. We found in part 1 that a chart review and patient interview by the pharmacy team can detect and correct these before reaching the patient. Furthermore, we found in part 2 that the risk could be further reduced by the implementation of pharmacist-led: patient education, education of preoperative nursing personnel, improvement of forms used for data collection, and having the patients bring all of their medications on admission.
本人已认领该文编译，48小时后若未提交译文，请其他战友自由认领。 Towards the Reduction of Medication Errors in Orthopedics and Spinal Surgery: Outcomes Using a Pharmacist-Led Approach.
减少矫形外科和脊柱外科药物使用错误的研究：药剂师实验结果
Abstract:
摘要
Study Design. Evaluation of medication ordering errors discovered on an orthopedic/spinal in-patient hospital unit and efforts initiated to reduce them.
研究设计：评估在矫形外科/脊柱外科的住院患者中错误用药的情况，并努力减少此类情况的发生。
Objective. In this study the authors aimed to assess the frequency of medication ordering errors and to examine the impact of local measures set forth to reduce their occurrence.
目的：在此研究中作者的目的在于评价错误用药的频率，并调查能减少此类情况发生的措施的作用。
Summary of Background Data. Since the release of the 2000 Institute of Health report: "To Err is Human"; in-hospital medical errors have been recognized as being unacceptably high; the consequence being preventable death rates estimated near 125,000 patients per year. The most common of errors are those involving medications.
背景数据概要：自2000年健康协会关于“人非圣贤孰能无过”的报道以来，发现住院患者的错误用药概率达到了难以接受的程度；此结果造成每年约12万5千人死亡，而这些都是可以防止的。大部分常见的用药错误都是由于相同的处方。
Methods. The study consisted of 2 parts. In part 1, the charts from 82 consecutive patients admitted to the Orthopedic/Spine Surgical Unit were assessed to determine the frequency, type, and potential severity of medication ordering errors. Several programs to reduce such errors were subsequently instituted and included: improved chart surveillance by pharmacists, a newly developed medication/history form given to and reviewed with patients before surgery, in-service education of preoperative nursing staff, patient database form changes, and requests for patients to bring their medications on admission. Part 2, including 87 patients, assessed the impact of these measures.
方法：本研究包括2个部分。第1部分，通过评估82例矫形外科/脊柱外科住院患者的数据显示错误用药的频率、类型以及潜在的危险。一些减少类似错误的措施出现，包括：改进药剂师监督表格；使用一些新的改良药方/用药史表格来进行术前给药回顾；术前护理人员的教育；患者资料表格的改进；入院时要求患者携带用药资料等。第2部分通过87例患者评估这些措施的作用。
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作者:admin@医学,生命科学 2010-11-07 05:11
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