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对新生儿重症监护病房(NICU)和儿科重症监护病房(PICU)的2147名患者作了为期四年的前瞻性研究,其中发现医源性投药失误315次,失误率为14%。医源性损害占3.1%(66/2147)。315次失误中,严重损害33人次(10.5%);轻度损害32人次(10.2%);1例因稀释时计算失误引起急性氨茶硷中毒。应用一种纵向监测系统有助于识别因投药失误引起的各种医源性并发症,从而有助于采取预防措施。
A prospective 4-year prospective study of 2147 patients in the Neonatal Intensive Care Unit (NICU) and Pediatric Intensive Care Unit (PICU) found 315 maladjustment medications, accounting for a 14% error rate. Iatrogenic lesions accounted for 3.1% (66/2147). Among 315 mistakes, 33 were seriously injured (10.5%); 32 were slightly damaged (10.2%); and 1 was diagnosed as acute aminophylline because of miscalculation on dilution. The use of a longitudinal monitoring system helps to identify the various iatrogenic complications resulting from errors in administration and helps to take precautionary measures.