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How safe is safe enough?

机译:多么安全才足够安全?

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摘要

Over three-quarters of emergency department (ED)visits in the United States result in the administrationor prescription of medications.1 If these data aregeneralizable to Canada, we prescribe or administerover 12 million medications in EDs across the countryeach year.2 Previous work has highlighted reasons whywe are at high risk for making errors during thisprocess.3 We prescribe and administer medications toacutely ill patients with limited diagnostic and historical information available. We use medications for awide range of conditions and must remain familiar withmany complex and evolving treatment options. Weprescribe and administer medications to multiplepatients in close proximity nearly simultaneously whilebeing interrupted, distracted, and delayed. Given theseunfavourable circumstances, it would not be surprisingif studies quantifying medication errors in EDsreported alarming findings.
机译:在美国,超过四分之三的急诊室(ED)访问会导致管理人员开具药物处方。1如果这些数据可推广到加拿大,那么我们每年在全国范围内在ED中开出或管理超过1200万种药物。2以前的工作着重强调了我们在此过程中出错的风险很高的原因。3我们为诊断和历史信息有限的急性病患者开药和给药。我们在各种情况下使用药物,必须熟悉许多复杂且不断发展的治疗方案。我们几乎同时向多名患者开药并给药,同时受到干扰,分散注意力和延误。在这些不利的情况下,如果研究量化EDs中令人震惊的发现中药物错误的研究就不足为奇了。

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