Profiles in patient safety: medication errors in the emergency department.
Profiles in patient safety: medication errors in the emergency department.
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患者安全概况：急诊科的用药错误。
DOI：
10.1111/j.1553-2712.2004.tb02214.x
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发表时间：
2004
期刊：
影响因子：
--
通讯作者：
Marcoux,Michael
中科院分区：
文献类型：
--
作者：
Croskerry,Pat;Shapiro,Marc;Campbell,Sam;LeBlanc,Connie;Sinclair,Douglas;Wren,Patty;Marcoux,Michael
急诊科（艾德）的用药错误是常见的。艾德独特的操作特征可能会加剧其发生率和严重程度。它们与从无关紧要到死亡的可变临床结局相关。这里描述了15个成人和儿童病例，以说明各种错误。它们可能发生在前面描述的五个阶段中的任何一个，从订购药物到交付。增加了第六个阶段，以强调艾德给药过程的最后部分，提请注意出院回家的患者应注意的事项。在没有药剂师监督的情况下分发药物的能力提供了一种产生错误的条件，医生和护士应该特别警惕。除了在非常有限和明确的情况下，医生不应该给药。遵守定义的角色将减少团队沟通错误，这是这里描述的案例中的一个常见主题。
Medication errors are frequent in the emergency department (ED). The unique operating characteristics of the ED may exacerbate their rate and severity. They are associated with variable clinical outcomes that range from inconsequential to death. Fifteen adult and pediatric cases are described here to illustrate a variety of errors. They may occur at any of the previously described five stages, from ordering a medication to its delivery. A sixth stage has been added to emphasize the final part of the medication administration process in the ED, drawing attention to considerations that should be made for patients being discharged home. The capability for dispensing medication, without surveillance by a pharmacist, provides an error‐producing condition to which physicians and nurses should be especially vigilant. Except in very limited and defined situations, physicians should not administer medications. Adherence to defined roles would reduce the team communication errors that are a common theme in the cases described here.