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首页> 外文期刊>The International journal of pharmacy practice >Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.
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Severity and probability of harm of medication errors intercepted by an emergency department pharmacist.

机译：急诊室药剂师截获的用药错误的严重性和危害概率。

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OBJECTIVES The objective of this study was to evaluate the severity and probability of harm of medication errors (MEs) intercepted by an emergency department pharmacist. The phases of the medication-use process where MEs were most likely to be intercepted were determined. METHODS The emergency department was staffed with a full-time pharmacist during the 7-month study period. The MEs that were intercepted by the pharmacist were recorded in a database. Each ME in the database was independently scored for severity and probability of harm by two pharmacists and one physician investigator who were not involved in the data collection process. KEY FINDINGS There were 237 ME interceptions by the pharmacist during the study period. The final classification of MEs by severity was as follows: minor (n = 42; 18%), significant (n = 160; 67%) and serious (n = 35; 15%). The final classification of MEs by probability of harm was as follows: none (n = 13; 6%), very low (n = 96; 41%), low (n = 84; 35%), medium (n = 41; 17%) and high (n = 3; 1%). Inter-rater reliability for classification was as follows: error severity (agreement = 75.5%, kappa = 0.35) and probability of harm (agreement = 76.8%, kappa = 0.42). The MEs were most likely to be intercepted during the prescribing phase of the medication-use process (n = 236; 90.1%). CONCLUSIONS A high proportion of MEs intercepted by the emergency department pharmacist are considered to be significant or serious. However, a smaller percentage of these errors are likely to result in patient harm.
机译：目的本研究的目的是评估急诊科药剂师截获的用药错误（ME）的严重性和伤害可能性。确定了药物使用过程中最容易被拦截的阶段。方法在为期7个月的研究期内，急诊科配备了一名专职药剂师。药剂师拦截的ME记录在数据库中。两名未参与数据收集过程的药剂师和一名医师调查员对数据库中的每个ME进行了严重程度和损害可能性的独立评分。主要发现在研究期间，药剂师拦截了237次ME。根据严重程度对ME的最终分类如下：轻度（n = 42; 18％），重度（n = 160; 67％）和重度（n = 35; 15％）。按伤害概率对ME的最终分类如下：无（n = 13; 6％），极低（n = 96; 41％），低（n = 84; 35％），中度（n = 41; n = 41; 5％）。 17％）和高（n = 3; 1％）。评分者之间的分类可靠性如下：错误严重度（协议= 75.5％，kappa = 0.35）和损害概率（协议= 76.8％，kappa = 0.42）。在药物使用过程的处方阶段最有可能截获ME（n = 236; 90.1％）。结论急诊部药剂师截获的大量ME被认为是重要或严重的。但是，这些错误中较小百分比可能会导致患者伤害。

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