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首页> 外文期刊>Journal of paediatrics and child health >Medication error trends and effects of person‐related, environment‐related and communication‐related factors on medication errors in a paediatric hospital
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Medication error trends and effects of person‐related, environment‐related and communication‐related factors on medication errors in a paediatric hospital

机译：与人有关，环境相关和通信相关因素对儿科医院药物错误的药物误差趋势与影响

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Aim This study aimed to examine reported medication error trends in an Australian paediatric hospital over a 5‐year period and to determine the effects of person‐related, environment‐related and communication‐related factors on the severity of medication outcomes. In particular, the focus was on the influence of changes to a hospital site and structure on the severity of medication errors. Methods A retrospective clinical audit was undertaken over a 5‐year period of paediatric medication errors submitted to an online voluntary reporting system of an Australian, tertiary, public teaching paediatric hospital. All medication errors submitted to the online system between 1 July 2010 and 30 June 2015 were included. Results A total of 3340 medication errors was reported, which corresponded to 0.56% medication errors per combined admissions and presentations or 5.73 medication errors per 1000 bed days. The most common patient outcomes related to errors requiring monitoring or an intervention to ensure no harm occurred ( n ?=?1631, 48.8%). A new hospital site and structure had 0.354 reduced odds of producing medication errors causing possible or probable harm (95% confidence interval 0.298–0.421, P ??0.0001). Patient and family involvement had 1.270 increased odds of identifying medication errors associated with possible or probable harm compared with those causing no harm (95% confidence interval 1.028–1.568, P ?=?0.027). Interrupted time series analyses showed that moving to a new hospital site and structure was associated with a reduction in reported medication errors. Conclusion Encouraging child and family involvement, facilitating hospital redesign and improving communication could help to reduce the harm associated with medication errors.
机译：目的这项研究旨在在5年期间审查澳大利亚儿科医院的药物错误趋势，并确定与人有关，环境相关和通信相关因素对药物成果的严重程度的影响。特别是，重点是对医院部位和结构的影响对药物错误严重程度的影响。方法采用回顾性临床审计，在提交给澳大利亚，第三级公共教学儿科医院的在线自愿报告系统的儿科药物错误的5年期。包括在2010年7月1日至2015年6月30日之间提交给在线系统的所有药物错误。结果报告了总共3340个药物误差，其每1000个床天数或每1000个床天数或5.73药物误差相当于0.56％的药物误差。与需要监测或干预的错误有关的最常见的患者结果，以确保没有发生危害（n？=？1631,48.8％）。新的医院网站和结构具有0.354，产生药物误差的几率降低，导致可能或可能的伤害（95％置信区间0.298-0.421，p≤≤0.0001）。患者和家庭参与具有1.270增加了与可能造成伤害的可能性或可​​能伤害相关的药物误差的可能性增加（95％置信区间1.028-1.568，p？= 0.027）。中断的时间序列分析显示，移动到新的医院部位和结构与报告的药物错误的减少有关。结论鼓励儿童和家庭参与，促进医院重新设计和改善沟通有助于减少与药物错误相关的危害。

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