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Oops! Another medication error : a literature review of contributing factors and methods to prevent medication errors

机译:糟糕!另一个用药错误:对预防用药错误的影响因素和方法的文献综述

摘要

The purpose of this bachelor's thesis was to chart scientific research articles to present contributing factors to medication errors done by nurses in a hospital setting, and introduce methods to prevent medication errors. Additionally, international and Finnish research was combined and findings were reflected in relation to the Finnish health care system. Literature review was conducted out of 23 scientific articles. Data was searched systematically from CINAHL, MEDIC and MEDLINE databases, and also manually. Literature was analysed and the findings combined using inductive content analysis. Findings revealed that both organisational and individual factors contributed to medication errors. High workload, communication breakdowns, unsuitable working environment, distractions and interruptions, and similar medication products were identified as organisational factors. Individual factors included nurses' inability to follow protocol, inadequate knowledge of medications and personal qualities of the nurse. Developing and improving the physical environment, error reporting, and medication management protocols were emphasised as methods to prevent medication errors. Investing to the staff's competence and well-being was also identified as a prevention method. The number of Finnish articles was small, and therefore the applicability of the findings to Finland is difficult to assess. However, the findings seem to fit to the Finnish health care system relatively well. Further research is needed to identify those factors that contribute to medication errors in Finland. This is a necessity for the development of methods to prevent medication errors that fit in to the Finnish health care system.
机译:该学士论文的目的是绘制科学研究文章,以介绍造成护士在医院环境中服药错误的因素,并介绍预防服药错误的方法。此外,国际和芬兰的研究相结合,研究结果也反映了与芬兰医疗体系的关系。文献综述来自23篇科学文章。可以从CINAHL,MEDIC和MEDLINE数据库中系统地搜索数据,也可以手动搜索。分析文献,并使用归纳性内容分析法将发现结合起来。研究发现,组织因素和个人因素均会导致用药错误。高工作量,通讯故障,不合适的工作环境,分心和打扰以及类似的药品被确定为组织因素。个别因素包括护士无法遵循规程,对药物的了解不足以及护士的个人素质。开发和改善物理环境,错误报告和药物管理协议被强调为防止药物错误的方法。投资于员工的能力和福祉也被认为是一种预防方法。芬兰文章的数量很少,因此很难评估研究结果对芬兰的适用性。但是,这些发现似乎相对适合芬兰的医疗体系。需要进一步的研究来确定那些导致芬兰用药错误的因素。这是开发预防适合芬兰卫生保健系统的用药错误的方法的必要性。

著录项

  • 作者

    Alanko Katja; Nyholm Lilli;

  • 作者单位
  • 年度 2007
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  • 原文格式 PDF
  • 正文语种 en
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