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首页> 外文期刊>Nursing standard >Vancomycin administration: mistakes made by nursing staff.
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Vancomycin administration: mistakes made by nursing staff.

机译：万古霉素管理：护理人员犯的错误。

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摘要

AIM: To identify the number and types of errors made by assistant and technical nurses when administering intravenous (IV) vancomycin. METHOD: Preparation and IV administration of 143 doses of vancomycin by 55 assistant and technical nurses were observed in four acute wards (three adult and one paediatric) in a public university hospital in Brazil. Non-participant observers completed a structured checklist for each dose. RESULTS: A total of 27 (19%) doses were administered correctly and 116 (81%) incorrectly. There were 268 errors of four types: (i) incorrect dose; (ii) improper preparation of a dose; (iii) inadequate administration technique; and (iv) infusion at an incorrect rate. For 13 of 143 (9%) doses, errors occurred in all four aspects of administration. Errors were observed on all four wards. CONCLUSION: The high incidence of suboptimal administration of vancomycin observed is a cause for concern. Focused education and safety measures have been introduced and their impact is being evaluated.
机译：目的：确定助理和技术护士在静脉注射万古霉素时所犯的错误的数量和类型。方法：在巴西一家公立大学医院的四个急性病房（三名成人和一名儿科）中观察了由55名助理和技术护士准备和静脉注射143剂万古霉素。非参加者的观察者完成了每个剂量的结构清单。结果：总共正确给予27剂（19％），错误给予116剂（81％）。共有268种错误，分为四种类型：（i）剂量不正确; （ii）剂量准备不当; （iii）管理技巧不足; （iv）输注速率不正确。对于143剂中的13剂（占9％），在所有四个方面均发生了错误。在所有四个病房都观察到错误。结论：万古霉素次优给药的高发生率值得关注。已经引入了重点的教育和安全措施，并且正在评估其影响。

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