防范儿童住院患者给药错误的最佳证据总结  

Best Evidence on Prevention of Drug Administration Errors in Pediatric Inpatients

作　　者：杨芹[1] 李凤婷[1] 王旭梅[1] 曹旺 迟巍[1] YANG Qin;LI Fengting;WANG Xumei(Beijing Children's Hospital,Capital Medical University,Beijing,100045,China)

机构地区：[1]首都医科大学附属北京儿童医院,北京100045

出　　处：《中国卫生质量管理》2024年第1期53-57,共5页Chinese Health Quality Management

基　　金：北京市属医院科研培育计划(编号:PX2020050);北京儿童医院护理专项(编号:202201);中华医学会杂志社护理学科研究课题(编号:CMAPH-NRI2022050)。

摘　　要：目的 总结儿童用药给药错误管理与预防的最佳实践证据,为临床用药提供参考。方法 根据澳大利亚JBI循证卫生保健中心的问题开发工具构建循证问题,检索用药错误相关指南和共识,由研究者对纳入文献进行质量评价,对符合质量标准的文献进行证据提取和汇总。结果 共纳入文献9篇,包括循证指南2篇,专家共识7篇。最终从管理、环境与设备、标签、信息、核查、医嘱、给药、高危药品管理等方面共总结34条最佳证据。结论 防范儿童用药给药错误证据较全面,纳入指南质量相对较高,但儿科人群指南尚不足,且防范儿童给药错误偏重剂量错误的预防,未来需开展更多用药错误类型的防范策略研究。Objective To summarize the best practice evidence of management and prevention of drug administration errors in children,and provide reference for clinical drug use.Methods Evidence-based questions were constructed according to the problem development tool of JBI Evidence-Based Health Care Center in Australia.Guidelines and consensus related to medication errors were searched.The quality of the included literatures was evaluated by researchers,and the literatures meeting the quality standards were extracted and summarized.Results A total of 9 literatures were included,including 2 guidelines and 7 expert consensus articles.Finally,a total of 34 best evidences were summarized from the aspects of management,environment and equipment,labeling,information,verification,medical advice,administration,high-risk drug management,etc.Conclusion The evidence for prevention of drug administration errors in children is comprehensive,and the quality of inclusion guidelines is relatively high,but the guidelines for pediatric population are insufficient,and the prevention of drug administration errors in children is more important than the prevention of dose errors.In the future,more research on prevention strategies for drug administration errors should be carried out.

关 键 词：儿童住院患者 用药错误 用药安全 给药错误 预防 

分 类 号：R197.323[医药卫生—卫生事业管理] R9[医药卫生—公共卫生与预防医学]