https://scholars.lib.ntu.edu.tw/handle/123456789/633031
標題: | Applying root cause analysis to promote the medication safety of continuous drug infusions for infants | 作者: | Chien, Chia Hui YA-LING YANG Fann, Guei Ling |
關鍵字: | Adverse medication event | Continuous intravenous drug infusion | Infants | Medication safety | Root cause analysis | 公開日期: | 1-四月-2014 | 卷: | 61 | 起(迄)頁: | S14 | 來源出版物: | Journal of Nursing | 摘要: | Background & Problems: An adverse medication event involving a continuous drug infusion dosage error was reported in the infant intensive care unit of our hospital in 2010. The causes of this adverse medication event were elicited in the healthcare network using root cause analysis. These causes included incomplete procedures and incorrect prescription, an incomplete procedure of medication in continuous drug infusion, complex procedures in confrming prescription, the transcription of doctor's orders and prescription (i.e., kardex), and defcient knowledge of medication procedures exhibited by clinical nurses. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/633031 | ISSN: | 0047262X | DOI: | 10.6224/JN.61.2S.14 |
顯示於: | 護理學系所 |
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