用药错误预防及管理临床实践指南的质量评价与内容分析

doi:10.3761/j.issn.0254-1769.2019.06.012

中华护理杂志 ›› 2019, Vol. 54 ›› Issue (6): 867-872.DOI: 10.3761/j.issn.0254-1769.2019.06.012

用药错误预防及管理临床实践指南的质量评价与内容分析

谭然,曾宪涛,曹英娟(),吕晓燕,申林,夏京花

250012 济南市山东大学护理学院(谭然，吕晓燕，夏京花);武汉大学中南医院循证与转化医学中心(曾宪涛);山东大学齐鲁医院护理部(曹英娟);山东中医药大学附属医院护理部(申林)

收稿日期:2018-12-07 出版日期:2019-06-15 发布日期:2019-06-15
通讯作者: 曹英娟
作者简介:谭然：女,本科(硕士在读),护师,E-mail： <email>tanran_1989@163.com</email>
基金资助:
山东省科技厅重点研发计划项目(2017GSF218001)

Quality appraisal and content analysis of clinical practice guidelines on prevention and management of medication errors

TAN Ran,ZENG Xiantao,CAO Yingjuan(),Lü Xiaoyan,SHEN Lin,XIA Jinghua

Received:2018-12-07 Online:2019-06-15 Published:2019-06-15
Contact: Yingjuan CAO

摘要/Abstract

摘要：

目的评价用药错误预防及管理相关临床实践指南,为减少临床用药错误、提高护士给药安全提供参考。方法计算机检索指南发布主要网站、专业学会网站和电子文献数据库,检索时限为建库至2019年1月31日,应用临床指南研究与评价工具Ⅱ(Appraisal of Guidelines for Research EvaluationⅡ,AGREEⅡ)评价循证指南,采用澳大利亚JBI循证卫生保健中心专家共识评价标准(2017)对基于专家共识的指南进行评价,并总结分析各指南的推荐内容。结果共纳入10部临床实践指南,其中循证指南4部,基于专家共识的指南6部;1部循证指南的总体质量评价为A级,3部为B级,指南整体质量较高。纳入的6部专家共识指南总体评价结果均为“纳入”。从10部指南共提取27条关于给药错误预防和管理的推荐意见。结论纳入的用药错误预防及管理临床实践指南质量整体较高,其推荐意见可为进一步规范临床用药,提高临床用药安全提供依据。

关键词: 用药错误, 给药错误, 临床实践指南, 质量评价, 临床指南研究与评价工具, 患者安全

Abstract:

Objective To evaluate the quality of clinical practice guidelines concerning prevention and management of medication errors,to provide recommendations for reducing medication errors improving medication safety among nurses.Methods The included guidelines recruited from international guideline websites,websites of academic societies or institutions,and electronic databases(from inception to January 31st 2019)were evaluated and analyzed.Results Ten guidelines were included. Four of them were evidence-based and the other six were expert consensus. One evidence-based guideline was rated according to AGREE II as A,three were rated as B,and the quality was relatively high. All 6 expert consensus guidelines were rated as included. Totally 27 items of recommendation were summarized from 10 guidelines.Conclusion The quality of the included guidelines for prevention and management of medication errors is good in general. Recommendations can offer evidence for regulated medication,and improve safety of medication.

Key words: Medication Errors, Medication Administration Errors, Clinical Practice Guideline, Quality Appraisal, AGREE Ⅱ, Patient Safety

谭然, 曾宪涛, 曹英娟, 吕晓燕, 申林, 夏京花. 用药错误预防及管理临床实践指南的质量评价与内容分析[J]. 中华护理杂志, 2019, 54(6): 867-872.

TAN Ran, ZENG Xiantao, CAO Yingjuan, Lü Xiaoyan, SHEN Lin, XIA Jinghua. Quality appraisal and content analysis of clinical practice guidelines on prevention and management of medication errors[J]. Chinese Journal of Nursing, 2019, 54(6): 867-872.

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参考文献 23

[1]	The National Coordinating Council for Medication Error Re-porting and Prevention. What is a medication error?[EB/OL].( 2001 -02-20)[2018-08-24]. .
[2]	World Health Organization. WHO launches global effort to halve medication-related errors in 5 years[EB/OL]. ( 2017 -03-29)[2018-08-24].
[3]	合理用药国际网络中国中心组临床安全用药组, 中国药理学会药源性疾病学专业委员会, 中国药学会医院药学专业委员会, 等. 医疗机构给药环节用药错误防范指导原则[J]. 药物不良反应杂志, 2016,18(1):4-7.
[4]	周英凤, 秦薇, 刘睿艳 , 等. 成年住院患者用药差错预防及管理实践指南的构建[J]. 护理学杂志, 2014,29(10):1-4.
[5]	王行环 . 循证临床实践指南的研发与评价(第1版)[M]. 北京: 中国协和医科大学出版社, 2016.
[6]	周芬, 郝玉芳, 丛雪 , 等. 指南研究与评价工具AGREEⅡ及各领域分值的补充解释及思考[J]. 护理学报, 2018,25(18):61-63.
[7]	The Joanna Briggs Institute. JBI Critical Appraisal Checklist for Text and Opinion Papers[EB/OL] . ( 2017 -07-15)[2019-03-22]. .
[8]	Health Care Association of New Jersey. Medication Management Guideline[DB/OL]. ( 2013 -05-01)[2018-08-24].
[9]	Zwicker D, Fulmer T. Reducing adverse drug events in older adults. In:evidence-based geriatric nursing protocols for best practice[M]. 4th ed. New York: Springer Publishing Company, 2012: 324-362.
[10]	合理用药国际网络中国中心组临床安全用药组, 中国药理学会药源性疾病学专业委员会, 中国药学会医院药学专业委员会, 等. 中国用药错误管理专家共识[J]. 药物不良反应杂志, 2014,16(6):321-326. DOI URL
[11]	National Institute for Health and Clinical Excellence. Medicines optimisation:the safe and effective use of medicines to enable the best possible outcomes(NG5)[DB/OL].( 2015 -03-04)[2018-08-24].
[12]	Goldspiel B, Hoffman JM , GriffitH NL , et al. ASHP guidelines on preventing medication errors with chemotherapy and biotherapy[J]. Am J Health Syst Pharm, 2015,72(8):26-35.
[13]	National Institute for Health and Clinical Excellence. Controlled drugs：safe use and management(NG46)[EB/OL].( 2016 -04-12)[2018-08-24].
[14]	Whitaker D, Brattebø G, Trenkler S , et al. The european board of anaesthesiology recommendations for safe medication practice:first update[J]. Eur J Anaesthesiol, 2017,34(1):4-7. DOI URL
[15]	Billstein-Leber M, Carrillo CJD, Cassano AT , et al. ASHP Guidelines on Preventing Medication Errors in Hospitals[J]. Am J Health Syst Pharm, 2018,75(19):1493-1517. DOI URL
[16]	王春青, 胡雁 . JBI证据预分级及证据推荐级别系统(2014版)[J]. 护士进修杂志, 2015,30(11):964-967.
[17]	胡雁, 朱政, 傅亮 , 等. 临床实践指南的发展与应用[J]. 中国护理管理, 2016,16(9):1153-1156.
[18]	Jin Y, Wang Y, Zhang Y , et al. Nursing practice guidelines in China do need reform:a critical appraisal using the AGREEⅡinstrument[J]. Worldviews Evid Based Nurs, 2016,13(2):124-138. DOI URL
[19]	吴超君, 缪晶, 张昕童 , 等. 成人输液港堵塞预防与处理的证据总结[J]. 中华护理杂志, 2018,53(3):346-351.
[20]	杨惠, 金梅 . 新入职护士安全文化培训及效果研究[J]. 中华护理杂志, 2018,53(8):983-989.
[21]	Drach-Zahavy A, Somech A, Admi H , et al.( How)do we learn from errors? A prospective study of the link between the ward’s learning practices and medication administration errors[J]. Int J Nurs Stud, 2014,51(3):448-457. DOI URL
[22]	Westbrook JI, Li L, Hooper TD , et al. Effectiveness of a ‘do not interrupt’ bundled intervention to reduce interruptions during medication administration:a cluster randomised controlled feasibility study[J]. BMJ Qual Saf, 2017,26(9):734-742. DOI URL
[23]	陆晶, 丁四清, 谢建飞 , 等. 护理中断事件管理的研究进展[J]. 中华护理杂志, 2018,53(5):617-621.

用药错误预防及管理临床实践指南的质量评价与内容分析

Quality appraisal and content analysis of clinical practice guidelines on prevention and management of medication errors

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