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18. Effect of standardized catheterization lab order forms on peri-procedural prescription errors, patient care and staff satisfaction

机译:18.标准化导管插入实验室订购单对围手术期处方错误,患者护理和员工满意度的影响

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Medication errors are the most common cause of iatrogenic adverse events. They can lead to severe complications, including prolonged hospitalization, unnecessary diagnostic tests and treatments, and even death. Objective: We set to explore the impact of introducing standardized cath lab order forms on medication errors, quality of patient care and staff satisfaction. This was a single center observational study conducted in a tertiary cardiac center in Saudi Arabia. We enrolled a total of 100 consecutive patients who underwent diagnostic or interventional cardiac catheterization before or after the introduction of standardized order forms. The cohort was divided into two equal groups. We compared medication prescription errors (as defined by hospital formulary) between the two groups. We also studies the impact of the standardized order forms on peri-procedural care including laboratory tests order completion, peri-procedural fluid and diabetes management, anticoagulant, diuretic and analgesia management. We have also employed a structured questionnaire to assess staff satisfaction with the use of these forms implementation of standardized order forms resulted in significant reduction of prescription errors from 32.0% to 0.0% ( p = 0.025). There was also a significant improvement in patient care as indicated by improvement in the rates of completion of laboratory orders that improved from 76.0% to 96.0% after the implementation of order forms ( p = 0.004), proper fluid management (100% vs. 86.0%, p = 0.023) and better peri-procedural diabetic management (see attached table). There was also improvement in the monitoring of the vascular access site (80% vs. 100%, p = 0.004) that resulted in reduction in access site related complications (6% vs. 0%). We administered a satisfaction questionnaire to 61 participants (nurses, physicians and pharmacists). The mean total satisfaction score was 62.8 for pharmacists, 50.4 for nurses and 48.6 for physicians indicating that the pharmacists were most satisfied with the implementation of these order forms and the physicians were the least satisfied ( p = 0.052). Our study shows that standardized order forms have the potential to decrease medication-prescribing errors and improve quality of patient care among patients undergoing diagnostic and interventional cardiac procedures.
机译:用药错误是医源性不良事件的最常见原因。它们可能导致严重的并发症,包括长期住院,不必要的诊断测试和治疗,甚至死亡。目的:我们着手探讨引入标准化导管实验室订单的形式对用药错误,患者护理质量和员工满意度的影响。这是在沙特阿拉伯的三级心脏中心进行的单中心观察研究。我们纳入了连续100例在引入标准订购单之前或之后接受诊断或介入性心脏导管插入术的患者。该队列分为两组。我们比较了两组之间的药物处方错误(由医院处方定义)。我们还研究了标准化订单对围手术期护理的影响,包括实验室测试订单完成,围手术期液体和糖尿病管理,抗凝,利尿和镇痛管理。我们还采用了结构化问卷,以评估员工对使用这些表格执行标准订购表格的满意度,从而将处方错误率从32.0%大大降低到0.0%(p = 0.025)。实验室订单的完成率也有所提高,从执行订单后的实验室完成率从76.0%提高到96.0%(p = 0.004),适当的输液管理(100%对86.0)。 %,p = 0.023)和更好的围手术期糖尿病治疗(见附表)。血管通路部位的监测也有所改善(80%vs. 100%,p = 0.004),从而减少了与通路部位相关的并发症(6%vs. 0%)。我们向61位参与者(护士,医生和药剂师)发放了满意度问卷。药剂师的平均总满意度得分为62.8,护士为50.4,医师为48.6,表明药剂师对这些订购单的执行最满意,而医师最不满意(p = 0.052)。我们的研究表明,标准化的订购单有可能减少接受诊断和介入性心脏手术的患者的用药处方错误并提高患者护理质量。

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