모바일 투약 시스템 적용과 투약오류 경고 관련 특성

송숙희; 백주원; 한인선; 김은혜; 변년임; 조은미; 안태사; 홍희정

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자료유형: 학술저널

저자정보: 송숙희 (서울대학교병원) 백주원 (서울대학교병원) 한인선 (서울대학교병원) 김은혜 (서울대학교병원) 변년임 (서울대학교병원) 조은미 (서울대학교병원) 안태사 (서울대학교병원) 홍희정 (서울대학교병원)

저널정보: 한국기본간호학회 기본간호학회지 기본간호학회지 제28권 제2호

발행연도: 2021.5

수록면: 149 - 155 (7page)

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연구배경

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Purpose: To assess characteristics the application of mobile medication system and medication administration error (MAE) alerts in a general hospital. Methods: The subject hospital adopted a mobile medication system in 2016. All medication administrations in the general wards and ICUs were automatically recorded in real-time using identification barcodes, drug barcodes, and hand-held point-of-care devices. MAE alert logs were recorded from April 1st 2017 to March 31st 2018. For this study analysis was done using Pearson’s chi-squared test for potentially related factors of MAE alerts included administration time, order type, medication route, and length of nurse’s employment. Results: The total number of medications during the period of this study was 3,227,990. Among them, 2,698,317 medication doses were recorded, resulting in the system application rate of 83.6%. The system application rate was significantly correlated with all factors related to potential MAE alters. In this study 23,314 MAE alerts(0.9% of the total medication doses) were identified. The MAE alerts were related to new (OR=2.26, p<.001) and emergency (OR=2.25, p<.001) orders, and administration at a non-standard time (OR=2.032, p<.001). Medication route (p<.001), and nurse’s employment duration(p<.001) were also related. Conclusion: A mobile medication system contributes to improving patient safety by preventing potential MAEs. The MAE alerts were related to administration time, order type, medication route, and duration of nurse’s employment. In order to prevent medication administration errors, it is necessary to standardize the process of medication and create an environment in which medication administration can be performed in a planned situation.

#Mobile applications #Medication systems #Medication errors #Electronic data processing #Patient safety #모바일 #투약 시스템 #투약오류 #바코드 #환자 안전

참고문헌 (11)

참고문헌 신청

Ni Y / 2018 / Designing and evaluating an automated system for real-time medication administration error detection in a neonatal intensive care unit / Journal of the American Medical Informatics Association 25(5):555~563

Bucknall T / 2019 / Nurses' decision-making, practices and perceptions of patient involvement in medication administration in an acute hospital setting / Journal of Advanced Nursing 75(6):1316~1327

조성현 / 2020 / 간호·간병통합서비스 병동 환자의 중증도·간호필요도에 따른 기대 간호시간 추정과 실제 간호시간과의 비교 / 간호행정학회지 26(4):365~377

Sloss EA / 2020 / Alert types and frequencies during bar code-assisted medication administration : a systematic review / Journal of Nursing Care Quality 35(3):265~269

Keers RN / 2015 / Understanding the causes of intravenous medication administration errors in hospitals : a qualitative critical incident study / BMJ Open 5:e005948

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송숙희

소속기관 서울대학교병원

주요연구분야 의약학 > 간호학 TOP 10% 사회과학 > 법학

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