对临床护士安全用药的调查与分析  

Investigation and analysis of clinical nurses＇ medication safety

作　　者：王晓兰[1] 任珍[2] 李惠聪[2] 汪巧娅[2] 刘梦[2] 

机构地区：[1]首都医科大学附属北京佑安医院国际医疗部,100069 [2]首都医科大学附属北京佑安医院护理部,100069

出　　处：《中华现代护理杂志》2013年第24期2911-2913,共3页Chinese Journal of Modern Nursing

基　　金：佑安肝病艾滋病科研基金资助项目（BJYAH-2011-027）

摘　　要：目的 调查影响临床护士安全用药的现状及影响因素.方法 2012年6月选取临床护士193人,采用自行设计的调查问卷,调查临床护士对用药知识、造成用药错误的时间、导致用药错误因素的认知情况.对调查结果采用图表进行分析.结果 虽然教育背景不同,但护士均认为用药标识应该清晰,即对药品、药物容器（如注射针剂、药杯）或其他溶液应标识清楚,特别是工作2～5年的护士认为药品、注射针剂的标识更应该清晰,与其他年资护士的认知有明显的差异.68.9％的护士选择用药错误最有可能发生的程序是在准备给药程序中,64.7％认为在给药程序中,特别是工作2～5年的护士认为在2种程序中均有可能发生给药错误.193名护士认为在所有导致用药错误的因素中过于忙碌占首位（70.9％）,其他的原因包括笔迹模糊难以辨认（43.5％）、药名相似（65.1％）和药物繁多（54.4％）.不同教育背景和年资的护士对此问题的认知亦不同.结论 用药及物品标识不清、过于忙碌是造成用药不安全的重要因素之一.同时教育背景、工作年限的差异导致了对修订临床用药流程的需要,并且给药错误必须从体系上解决.Objective To investigate the situation and influencing factors of clinical nurses＇ medication safety.Methods A total of 193 female clinical nurses were chosen in June 2012,and then investigated with self-designed questionnaire of their medication knowledge,time to cause medication errors and influencing factors of medication errors.Chart analysis was used for investigation results.Results Despite of different educationalbackgrounds,all nurses,especially nurses with 2-5 years of working experiences,agreed that medicatioulabelsincluding drugs,drug containers like injection and medicine cup and other solutions should be clear,with statistically significant differences compared to other nurses.68.9％ nurses believed that the most possible error was during preparation process,64.7％ believed during delivery process,and nurses with 2-5 years of working experiences thought errors could occur in both processes.193 nurses believed the influencing factors were too busy （70.9％）,too fuzzy handwriting for recognition （43.5％）,similar drug names （65.1％） and too many drugs （54.4％）.Nurses with different educations and experiences had different cognition of this question.Conclusions Unclear medication and drug labels as well as too busy are the most important factors of medication unsafety.Educational backgrounds and working experiences lead to the needs of revising clinical medication process,and medication errors should be resolved systematically.

关 键 词：数据收集 临床护士 安全用药 

分 类 号：R47[医药卫生—护理学]