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首页> 外文期刊>The joint commission journal on quality and patient safety >Barriers To Emergency Departments' Adherence To Four Medication Safety-related Joint Commission National Patient Safety Goals
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Barriers To Emergency Departments' Adherence To Four Medication Safety-related Joint Commission National Patient Safety Goals

机译：急诊部门遵守与药物安全相关的四个联合委员会国家患者安全目标的障碍

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Background: Medication errors are a serious public health threat, causing patient injury and death and sharply increasing health care costs. Serious preventable errors are most likely to occur in areas of increased complexity and technology, such as the emergency department (ED), Although The Joint Commission in 2002 approved the first set of National Patient Safety Goals (NPSGs) to decrease the occurrence of health care errors, the literature suggests that the goals are not fully implemented. In 2006, the Emergency Nurses Association (ENA) conducted a national, multisite survey (1) to describe barriers to full implementation of the 2006 NPSGs related to medication safety (then known as Goals 1, 2, 3, and 8) as reported by ED registered nurses (ED nurses) and (2) to investigate factors related to those barriers.rnMethods: ED nurses (n = 2,220), managers (n = 129), and site coordinators (n = 126) representing 131 EDs completed surveys concerning NPSG implementation, policies, and barriers. Nonparametric statistical methods were used to analyze the data.rnResults: ED nurses frequently reported barriers to adherence to NPSGs. Patient safety education was not related to NPSG adherence. A complex work environment, such as that associated with residents in training, mixed-shift hours, and state designation as a trauma center, was associated with reduced NPSG adherence. Discussion: The low response rate (4.6%) to this study inherently limits the overall generalizability of the findings to the greater population of EDs. Yet, the findings suggest that substantial barriers remain to ED adherence to the NPSGs related to medication safety. Efforts to reduce the barriers should focus on system changes that facilitate adherence. Health care providers and their organizations must commit to and enforce a zero-tolerance policy for preventable medication errors.
机译：背景：用药错误是对公众健康的严重威胁，导致患者受伤甚至死亡，并大幅增加医疗保健成本。在复杂性和技术不断提高的领域中，最有可能发生严重的可预防错误，例如急诊科（ED），尽管联合委员会于2002年批准了第一套国家患者安全目标（NPSG），以减少卫生保健的发生错误，文献表明目标没有完全实现。 2006年，急诊护士协会（ENA）进行了一项全国性的多站点调查（1），以描述与药物安全有关的2006 NPSG全面实施的障碍（当时称为目标1、2、3和8）。急诊注册护士（急诊护士）和（2）调查与这些障碍相关的因素。方法：代表131名急诊医生的急诊护士（n = 2220），经理（n = 129）和现场协调员（n = 126） NPSG的实施，政策和障碍。结果：急诊室护士经常报告遵守NPSG的障碍。患者安全教育与NPSG的依从性无关。复杂的工作环境（例如与居民在培训中相关的工作，混合班次以及将州指定为创伤中心）与NPSG依从性降低有关。讨论：对本研究的低响应率（4.6％）固有地限制了研究结果的总体推广性，以适应更多的EDs人群。然而，研究结果表明，ED依从性与药物安全性相关的NPSG依从性仍然存在实质性障碍。减少障碍的工作应集中在促进遵守的系统更改上。卫生保健提供者及其组织必须对可预防的药物错误采取并实施零容忍政策。

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