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首页> 美国卫生研究院文献>Quality in Health Care : QHC >Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution
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Evaluation of the implementation of the alert issued by the UK National Patient Safety Agency on the storage and handling of potassium chloride concentrate solution

机译：评估英国国家患者安全局发布的有关储存和处理氯化钾浓缩液的警报的实施情况

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>Objectives: To assess the effectiveness of the response of NHS hospital trusts to an alert issued by the National Patient Safety Agency designed to limit the availability of concentrated potassium chloride in hospitals in England and Wales, and to determine the nature of any unintended consequences. >Design: Multi-method study involving interviews and a physical inspection of clinical areas. >Setting: 207 clinical areas in 20 randomly selected acute NHS trusts in England and Wales between 31 October 2002 and 31 January 2003. >Participants: Senior managers and ward based medical and nursing staff. >Main outcome measures: Degree of staff awareness of and compliance with the requirements of the national alert, withdrawal of concentrated potassium chloride solutions from non-critical areas, provision of pre-diluted alternatives, storage and recording in accordance with controlled drug legislation. >Results: All trusts required that potassium chloride concentrate be stored in a separate locked cupboard from common injectable diluents (100% compliance). Unauthorised stocks of potassium chloride were found in five clinical areas not authorised by the trust (98% compliance). All trusts required documentation control of potassium chloride concentrate in clinical areas, but errors were recorded in 20 of the 207 clinical areas visited (90% compliance). Of those interviewed, 78% of nurses and 30% of junior doctors were aware of the alert. >Conclusions: The NPSA alert was effective and resulted in rapid development and implementation of local policies to reduce the availability of concentrated potassium chloride solutions. The success is likely to be partly due to the nature of the proposed changes and it cannot be assumed that future alerts will be equally effective. Continued vigilance will be necessary to help sustain the changes.
机译：>目标：评估由国家患者安全局（National Patient Safety Agency）发布的旨在限制英格兰和威尔士医院中浓氯化钾的可用性的警报对NHS医院信托的响应的有效性，并确定意外后果的性质。 >设计：多方法研究，包括访谈和临床领域的物理检查。 >设置：在2002年10月31日至2003年1月31日期间，在英格兰和威尔士随机选择了20个急性NHS信托基金中的207个临床区域。>参与者： 。 >主要结果指标：工作人员对国家警报的了解和遵守程度，从非关键区域撤回浓缩氯化钾溶液，提供预稀释替代品，按照规定进行存储和记录的程度受管制的药物立法。 >结果：所有信托机构都要求将氯化钾浓缩物与普通的可稀释剂（100％达标）存储在单独的带锁橱柜中。在未经基金会授权的五个临床区域中发现了未经授权的氯化钾库存（达标率为98％）。所有信托机构都要求对临床区域的氯化钾浓缩物进行文件控制，但在所访问的207个临床区域中，有20个记录了错误（符合率90％）。在受访者中，有78％的护士和30％的初级医生知道警报。 >结论：NPSA警报非常有效，并导致迅速制定和实施了减少浓缩氯化钾溶液供应的地方政策。成功的部分原因可能是提议的变更的性质，不能假设未来的警报同样有效。必须持续保持警惕，以帮助维持这些变化。

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