Construction and application of a platform for reporting medication near-miss events

doi:10.3761/j.issn.0254-1769.2025.16.013

Abstract

Abstract:

Objective To develop a platform for reporting medication near miss events and evaluate its application effectiveness，aiming to enhance medication safety of patients. Methods Based on literature review，qualitative interviews，and expert group meetings，a medication near-miss event reporting platform was constructed，including 4 modules：event content filling，event risk grading，event handling，and statistical analysis. 50 nurses were conveniently selected from the pediatric ward of a tertiary grade A hospital in Henan Province as the application subjects. The reporting situation and filling duration of medication near miss events，the score of the Medication Near Miss Reporting Disorder Scale，and the incidence of medication near miss events were compared after the application of the platform（from March to August 2023） and before the application（from September 2022 to February 2023）. Results The reporting rate of medication near miss events after the application of the platform was higher than that before the application of the platform，and the comparison of the distribution of event nature and occurrence links showed statistically significant differences（P<0.05）. After the application of the platform，the reporting duration of medication near miss events was shorter than that before the application of the platform，and the score of the Medication Near Miss Reporting Disorder Scale was lower than that before the application of the platform. The differences were statistically significant（P<0.001）. There was no statistically significant difference in the incidence of medication near miss events before and after the application of the platform（P=0.241）. Conclusion Using this platform can help improve the reporting rate of medication near miss events，reduce the time taken to fill out reports，and minimize reporting barriers for nurses.

Key words: Near Miss, Medication Safety, Risk Warning, Information System, Nursing Administration Research

摘要：

目的构建用药接近失误事件上报平台并评价其应用效果，以提高患者用药安全。方法基于文献检索、质性访谈、专家小组会议，构建用药接近失误事件上报平台，包括事件内容填写、事件风险分级、事件处置、统计分析4个模块。便利选取河南省某三级甲等医院儿科病区的50名护士作为应用对象，比较平台应用后（2023年3— 8月）及应用前（2022年9月—2023年2月）用药接近失误事件上报情况及填报时长、用药接近失误报告障碍量表评分、用药错误事件发生率。结果平台应用后的用药接近失误事件上报率高于平台应用前，且事件性质、发生环节的分布情况比较，差异具有统计学意义（P<0.05）。平台应用后，用药接近失误事件填报时长少于平台应用前，用药接近失误报告障碍量表评分低于平台应用前，差异具有统计学意义（P<0.001）。平台应用前后用药错误事件发生率比较，差异无统计学意义（P=0.241）。结论使用该平台有助于提升用药接近失误事件上报率，缩短填报时长，减少护士报告障碍。

关键词: 接近失误, 用药安全, 风险预警, 信息系统, 护理管理研究

WANG Fang, YANG Xiaoguo, SHEN Dexin, ZHENG Xican, DING Xiaoyong, JIANG Xiaomeng, HUANGFU Jiaxin, QU Jingrui. Construction and application of a platform for reporting medication near-miss events[J]. Chinese Journal of Nursing, 2025, 60(16): 2009-2015.

王芳, 杨晓果, 沈德新, 郑喜灿, 丁小勇, 江小萌, 皇甫佳欣, 瞿靖芮. 用药接近失误事件上报平台的构建与应用研究[J]. 中华护理杂志, 2025, 60(16): 2009-2015.

Figures/Tables 2

References 23

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