Role of registered nurses in error prevention, discovery and correction.
Role of registered nurses in error prevention, discovery and correction.
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注册护士在错误预防、发现和纠正中的作用。
DOI：
10.1136/qshc.2007.022699
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发表时间：
2008
影响因子：
--
通讯作者：
Scott,LD
中科院分区：
文献类型：
--
作者：
Rogers,AE;Dean,GE;Hwang,W-T;Scott,LD
注册护士在发现和纠正医疗差错中起着至关重要的作用。目的描述美国重症监护护士发现的差错的类型和频率，并确定研究参与者发现的差错是谁造成的。方法随机抽取502名重症护理护士在28天的时间里，使用日常日志收集发现的差错信息。结果尽管重症护理护士发现和纠正的差错大多涉及药物(163/367)，但程序错误是常见的(n = 115)。图表和抄写错误较少被发现。参与者发现的差错归因于护士、医生、药剂师、技术员和科室秘书等多种工作人员。结论鉴于护士在维护患者安全方面的重要性，未来的研究应确定提高其有效性的因素，以预防、拦截和纠正医疗差错。
BackgroundRegistered nurses have a vital role in discovering and correcting medical error.ObjectiveTo describe the type and frequency of errors detected by American critical care nurses, and to ascertain who made the errors discovered by study participants.MethodsDaily logbooks were used to collect information about errors discovered by a random sample of 502 critical care nurses during a 28-day period.ResultsAlthough the majority of errors discovered and corrected by critical care nurses involved medications (163/367), procedural errors were common (n = 115). Charting and transcription errors were less frequently discovered. The errors discovered by participants were attributed to a wide variety of staff members including nurses, doctors, pharmacists, technicians and unit secretaries.ConclusionsGiven the importance of nurses in maintaining patient safety, future studies should identify factors that enhance their effectiveness to prevent, intercept and correct healthcare errors.