tailieunhanh - Báo cáo y học: "Minimising drug errors in critically ill patients"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: Minimising drug errors in critically ill patients. | Carson-Stevens et al. Critical Care 2011 15 401 http content 15 1 401 CRITICAL CARE LETTER L_ Minimising drug errors in critically ill patients Andrew Carson-Stevens - 2 Christopher D Hingston2 and Matt P Wise2 See related research by Klopotowska etal. http content 4 5 R 74 Klopotowska and colleagues underscore the value of the hospital pharmacists expertise in reducing medication errors and improving patient safety in critical care 1 . The authors emphasise that drug inaccuracies are frequent and that the limited physiological reserve of critically ill individuals increases the potential harm of adverse prescribing. Critically ill patients represent a unique population with altered pharmacokinetics and it is likely that the rate of suboptimal prescribing may be even greater than suggested by the current study 2 3 . Notably Klopotowska and colleagues identified that most errors were focused on drug monitoring and suboptimal and incorrect dosing typically involving antibiotics drugs used less frequently in critical care and drugs with rapid-change profiles such as anti-thrombotics. It would have been informative to subcategorise errors by clinical grade intensivist fellow resident however it is noteworthy that errors increased during the period with new residents. Training is a central issue because there are features unique to prescribing in this population and residents require additional support. Residents are integral to the processes that underpin many risk factors for medication error 4 . From the outset of their critical care experience residents are required to prescribe drugs not previously encountered and to chart drugs with unfamiliar routes rates and indications. The impact of the limited pharmacy intervention package described in this study 1 could be extended by giving new prescribers an induction focusing on what is unique to critically ill patients. This induction might be delivered as an online resource undertaken prior