diplomsko delo
Kaja Škrab (Author), Darja Ovijač (Reviewer), Suzana Mlinar (Mentor)

Abstract

Uvod: Medicinske sestre vsakodnevno ravnajo z zdravili. One so tiste, ki jih po naročilu zdravnika pripravijo in aplicirajo. Medicinske sestre zadnji varnostni korak ter etično in pravno odgovorne za svoje delo. Napake, do katerih pride pri ravnanju z zdravili, so najpogostejši neželeni dogodek v času hospitalizacije. Namen: Namen diplomskega dela je predstaviti težavo pogostosti napak pri aplikaciji in ravnanju z zdravili, poiskati najpogostejše vzroke za napake in predstaviti učinkovite ukrepe za odpravo. Metode dela: V diplomskem delu smo uporabili pregled slovenske in angleške literature. Iskali smo znanstvene in strokovne članke s pomočjo spletnega portala Digitalne knjižnice Univerze v Ljubljani. Iskanje literature je potekalo od januarja do septembra 2020. Angleško literaturo smo iskali po mednarodnih podatkovnih bazah MedLine, ScienceDirect, Wiley Online Library, CINAHL in Cochrane Library. Domačo literaturo smo iskali v knjižničnem katalogu COBIB.SI. Rezultati: Najpogostejše napake pri ravnanju z zdravili so: neustrezen čas aplikacije zdravila, izpust aplikacije, aplikacija napačnega zdravila, neustrezen odmerek in zdravilo, dano napačnemu pacientu. Najpogostejši razlogi, ki privedejo do napak, so: motnje pri pripravi in aplikaciji zdravil, visoka intenziteta dela, pomanjkanje osebja, preobremenjenost medicinskih sester in pomanjkljivo farmakološko znanje. Učinkoviti ukrepi za preprečitev napak so: elektronsko predpisovanje terapije, uporaba informacijske tehnologije v zdravstvu, uporaba sodobnih varnostnih aplikacij in programov, prisotnost kliničnega farmacevta na oddelku, dvojno preverjanje, ne obsojajoče delovno okolje, zagotovitev delovnega prostora, namenjenega pripravi zdravil, in zagotovitev dodatnega izobraževanja zaposlenih s področja farmakologije. Razprava in zaključek: Napake pri ravnanju z zdravili lahko ogrozijo zdravstveno stanje pacientov, predstavljajo nepotreben strošek za zdravstvo. Pomembno je, da se ob napakah strokovno odzove in prepreči njihova morebitno ponovitev. Prav s sporočanjem in dokumentiranjem storjene napake prispevamo k spopadanju s problematiko in poskrbimo za izboljšanje delovne prakse.

Keywords

diplomska dela;zdravstvena nega;napake pri aplikaciji zdravil;napake pri ravnanju z zdravili;preprečevanje napak pri aplikaciji zdravil;

Data

Language: Slovenian
Year of publishing:
Typology: 2.11 - Undergraduate Thesis
Organization: UL ZF - University College of Health Studies
Publisher: [K. Škrab]
UDC: 616-083
COBISS: 43648259 Link will open in a new window
Views: 923
Downloads: 316
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Other data

Secondary language: English
Secondary title: The nurse's role in medication safety
Secondary abstract: Introduction: Nurses have important role and responsibility in medication administration. Nurse practice involves legal, ethical and professional aspects. They are the final person to check and see if the medication is correctly prescribed and dispensed before administration. Medication errors are the most common adverse event in patient safety. Purpose: The purpose of this paper is to present the problem of common medication errors and find out the most frequent causes for medication errors, as well as present measures for their prevention. Methods: We used the review of literature on medication errors. English scientific and professional literature was searched for in the following databases: CINAHL with full text, MEDLINE, Google Scholar, Science Direct, Wiley Online Library and Cochrane Library. We searched for Slovene literature with COBIB.SI. Searching for suitable literature lasted from January to September 2020. Results: The most common medication errors are: wrong medication, wrong dose, omission error, wrong time and wrong patient. The most frequent causes for medication errors are: interruption or distraction when preparing or administering medication, fatigue resulted from hard work, increased workload, shortage of personnel and lack of pharmacological knowledge. Factors of prevention are: electronic prescribing, using information technology, using safety apps and programs, presence of clinical pharmacist in wards, double checking, non-judgmental work environment, developing a safety culture, separating medication preparation rooms and improving knowledge, attitudes, and practice of nurses in medication administration and pharmacology. Discussion and conclusion: Medication errors are common throughout healthcare and result in significant impact on the well-being of patients and financial cost. Reporting medication errors is crucial for detection and understanding the nature and sources of medication errors. Reporting is the key for researching and applying evidence-based prevention strategies that can decrease medication errors and improve patient safety.
Secondary keywords: diploma theses;nursing care;medication errors;preventing medication errors;
Type (COBISS): Bachelor thesis/paper
Study programme: 0
Thesis comment: Univ. v Ljubljani, Zdravstvena fak., Oddelek za zdravstveno nego
Pages: 34 str.
ID: 12315860