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首页> 外文期刊>Journal of psychiatric practice. >Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.
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Identifying and reducing medication errors in psychiatry: creating a culture of safety through the use of an adverse event reporting mechanism.

机译：识别和减少精神病学中的用药错误：通过使用不良事件报告机制来建立安全文化。

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摘要

Medication errors (MEs) in psychiatry have not been extensively studied. No long-term prospective efforts to demonstrate error reduction in psychiatric care using multidisciplinary interventions have been published in the literature. This article discusses the implementation of the Patient Safety Net (PSN) (an error reporting system) and of the Provider Order Entry (POE) program (a prescribing system). We educated and trained staff in their use, conducted concurrent chart reviews to estimate true error reduction, and provided continuous feedback as errors occurred. The intervention described here resulted in a reduction in MEs in association with performance improvement efforts that were conducted over 5 years and involved 65,466 patient days, and 617,524 billed doses, which is the largest study of an intervention to reduce psychiatric medication errors reported to date.
机译：精神病学中的用药错误（ME）尚未得到广泛研究。文献中尚未发表长期的前瞻性研究来证明使用多学科干预减少精神病护理中的错误。本文讨论了患者安全网（PSN）（错误报告系统）和提供商订单输入（POE）程序（处方系统）的实现。我们对员工的使用进行了教育和培训，并发图表复查以估计真正的错误减少，并在发生错误时提供连续的反馈。此处描述的干预措施伴随着5年以上的绩效改善工作而导致MEs减少，涉及65,466病人日和617,524计费剂量，这是迄今为止迄今为止最大的减少精神药物治疗错误的干预措施。

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