[臨床醫(yī)學(xué)]給藥錯(cuò)誤的安全指南(編輯修改稿)
2025-03-20 13:16 本頁面
【文章內(nèi)容簡(jiǎn)介】 irm patient identity before administration of each dose.給藥前核對(duì)病人身份和劑量 ? Be familiar with medication ordering and dispensing systems. 熟悉醫(yī)囑系統(tǒng)和分發(fā)系統(tǒng) ? Verify drug orders before medication administration. 給藥前校驗(yàn)藥物醫(yī)囑 ? Unusually large or small volumes or dosage units for a single patient dose should be verified. 非同尋常的大或小劑量必須引起重視 ? When a patient or parent or caregiver questions whether a drug should be administered, listen attentively, answer questions, and doublecheck the medication order. 當(dāng)家屬或病人詢問有關(guān)給藥問題時(shí)必須重視和仔細(xì)聆聽 ,重新給予雙人核對(duì) ? Remain familiar with the operation of medication administration devices and the potential for errors with such devices, particularly patientcontrolled analgesia or infusion 給藥程序和輸液泵保持嫻熟 護(hù)理教育和溝通 NURSING EDUCATION AND COMMUNICATION ? Develop and maintain continuous education programs for nursing petencies in devices used for pediatric medication administration, particularly patientcontrolled analgesia and infusion pumps. 持續(xù)培訓(xùn)對(duì)小兒給藥設(shè)施掌握 ? * Develop and maintain pediatric medications knowledge 續(xù)對(duì)小兒給藥知識(shí)的培訓(xùn) ? Discuss medication orders with prescriber whenever possible. 如果可能 ,盡量直接與處方者溝通 ? Integrate and provide education for patient and caregiver regarding the medication regimen. 對(duì)病人或家屬進(jìn)行相關(guān)給要知識(shí)的指導(dǎo) ? Record and verify patient identity, weight, allergies, and previous medication use. 記錄和確認(rèn)病人身份 \體重 \過敏和先前給藥史 ? Be aware of and involved in ongoing errortracking systems and pharmacy programs. Encourage blamefree error reporting. Ensure that all staff members understand the method of reporting and are knowledgeable about JCAHO reporting rules (JCAHO, 2022).整個(gè)醫(yī)療照顧團(tuán)隊(duì)都要主動(dòng)參與和熟悉給藥錯(cuò)誤處置系統(tǒng) ,如報(bào)告 ,鼓勵(lì)無譴責(zé)報(bào)告和熟悉 JCAHO給藥錯(cuò)誤制度 預(yù)防抗腫瘤藥物給藥錯(cuò)誤指南 ASHP guidelines on preventing medication errors with antineoplastic agents. （ American Society of HealthSystem Pharmacists 2022 Sep） ? 從給藥流程、給藥技術(shù)、行為原因尚系統(tǒng)減少給藥錯(cuò)誤 ? 要從整個(gè)系統(tǒng)作起：從處方、準(zhǔn)備、發(fā)放、使用以及病人教育和咨詢 對(duì)醫(yī)院的推薦 Remendations for Health Care Organizations ? 醫(yī)院需有專門委員會(huì)指定給藥整個(gè)流程的資質(zhì)和能力要求 , ? 給藥系統(tǒng)設(shè)計(jì)中要求有減少給藥錯(cuò)誤的功能 ? 錯(cuò)誤和幾近錯(cuò)誤要進(jìn)行分析 ,以發(fā)現(xiàn)系統(tǒng)中的缺陷 EDUCATION, COMPETENCY, AND CREDENTIALING. ? 雇主要評(píng)估員工 ? 員工要接受新崗位教育和化療藥物給藥的培訓(xùn)
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