National Survey of Neonatal Intensive Care Unit Medication Safety Practices.
National Survey of Neonatal Intensive Care Unit Medication Safety Practices.
复制标题
全国新生儿重症监护病房用药安全实践调查。
DOI:
10.1055/s-0038-1660837
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发表时间:
2018
影响因子:
2
通讯作者:
DeRienzo,Chris
中科院分区:
文献类型:
--
作者:
Greenberg,RachelG;Smith,PBrian;Bose,Carl;Clark,ReeseH;Cotten,CMichael;DeRienzo,Chris
ObjectiveWe conducted a detailed survey to identify medication safety practices among a large network of United States neonatal intensive care units (NICUs).MethodsWe created a 53-question survey to assess 300 U.S. NICU's demographics, medication safety practices, adverse drug event (ADE) reporting, and ADE response plans.ResultsAmong the 164 (55%) NICUs that responded to the survey, more than 85% adhered to practices including use of electronic health records, computerized physician order entry, and clinical decision support; fewer reported adopting barcoding, formal safety surveys, and formal culture training; 137 of 164 (84%) developed at least one NICU-specific order-set with a median of 10 order-sets.ConclusionAmong our survey of 164 NICUs, we found that many safety practices remain unused. Understanding safety practice variation is critical to prevent ADEs and other negative infant outcomes. Future efforts should focus on linking safety practices identified from our survey with ADEs and infant outcomes.