药物准备过程中断的次数和持续时间及其导致中断的因素研究

Study on Number and Duration of Interruptions Which Occured in the Drug Preparation Process and the Factors

关键词:  药物准备  中断的次数  持续时间  中断的因素

Key words:  pharmaceutical preparations  number of interrupts  duration  interrupt factors

摘要:

目的 探究药物准备过程中断的次数和持续时间及其导致中断的因素，从而为护理工作人员因药物准备过程中断而造成的医疗失误作出指导。方法 连续性观察2015年6月—12月期间护理工作人员的日常工作，记录所有护士期间发生药物准备过程中断的次数和持续时间，并分析导致其中断的因素，对结果进行统计学的处理。结果 共收集832个药物准备过程，其中发生中断有751个，平均中断次数为（6.1±0.7）次，平均持续时间为（6.5±2.4）min，导致中断的因素包括医师传唤、患者呼叫、接听电话、家属答疑以及同事交流等人为因素和材料处理、信息录入以及药品发放等非人为因素。结论 护理工作人员在进行药物准备的过程中，发生中断的次数频繁，持续的时间长，导致的因素多。因此，护理工作人员应注意分析药物准备过程中断的因素，减少不必要的中断次数，从而降低因药物准备过程中断而造成的医疗失误的发生率。

Abstract:

OBJECTIVE To explore the process of preparing the drug number and duration of interruptions and the resulting disruption factors, which provide guidance for the nursing staff due to drug preparation process interruption caused by medical errors. METHODS Continuous observation of the daily work of nursing staff during the period June 2015 to December 2015, recording the process of preparing the drug number and duration of interruptions occurred during all the nurses, and to analyze factors leading to its interruption, the results were statistically treatment. RESULTS The study collected a total of 832 pharmaceutical preparation, which interrupted 751 cases, the average number of interruptions was (6.1±0.7), with the average duration was (6.5±2.4)min, leading to disruption of factors including physician summoned patient calls, receive calls, answering and colleagues about their families and other human factors and material handling, information entry and release of drug and other non-human factors. CONCLUSION The nursing staff during the course of preparation of the drug, the number of frequent interruption, long duration, multi-factors. Therefore, care workers should pay attention to analysis of drug preparation process interrupt factors, to reduce unnecessary interruptions, thus reducing the preparation process due to drug interruption caused by the incidence of medical errors.