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Vloga medicinske sestre pri varni aplikaciji zdravil : diplomsko delo
ID Škrab, Kaja (Author), ID Mlinar, Suzana (Mentor) More about this mentor... This link opens in a new window, ID Ovijač, Darja (Reviewer)

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Abstract
Uvod: Medicinske sestre vsakodnevno ravnajo z zdravili. One so tiste, ki jih po naročilu zdravnika pripravijo in aplicirajo. Medicinske sestre zadnji varnostni korak ter etično in pravno odgovorne za svoje delo. Napake, do katerih pride pri ravnanju z zdravili, so najpogostejši neželeni dogodek v času hospitalizacije. Namen: Namen diplomskega dela je predstaviti težavo pogostosti napak pri aplikaciji in ravnanju z zdravili, poiskati najpogostejše vzroke za napake in predstaviti učinkovite ukrepe za odpravo. Metode dela: V diplomskem delu smo uporabili pregled slovenske in angleške literature. Iskali smo znanstvene in strokovne članke s pomočjo spletnega portala Digitalne knjižnice Univerze v Ljubljani. Iskanje literature je potekalo od januarja do septembra 2020. Angleško literaturo smo iskali po mednarodnih podatkovnih bazah MedLine, ScienceDirect, Wiley Online Library, CINAHL in Cochrane Library. Domačo literaturo smo iskali v knjižničnem katalogu COBIB.SI. Rezultati: Najpogostejše napake pri ravnanju z zdravili so: neustrezen čas aplikacije zdravila, izpust aplikacije, aplikacija napačnega zdravila, neustrezen odmerek in zdravilo, dano napačnemu pacientu. Najpogostejši razlogi, ki privedejo do napak, so: motnje pri pripravi in aplikaciji zdravil, visoka intenziteta dela, pomanjkanje osebja, preobremenjenost medicinskih sester in pomanjkljivo farmakološko znanje. Učinkoviti ukrepi za preprečitev napak so: elektronsko predpisovanje terapije, uporaba informacijske tehnologije v zdravstvu, uporaba sodobnih varnostnih aplikacij in programov, prisotnost kliničnega farmacevta na oddelku, dvojno preverjanje, ne obsojajoče delovno okolje, zagotovitev delovnega prostora, namenjenega pripravi zdravil, in zagotovitev dodatnega izobraževanja zaposlenih s področja farmakologije. Razprava in zaključek: Napake pri ravnanju z zdravili lahko ogrozijo zdravstveno stanje pacientov, predstavljajo nepotreben strošek za zdravstvo. Pomembno je, da se ob napakah strokovno odzove in prepreči njihova morebitno ponovitev. Prav s sporočanjem in dokumentiranjem storjene napake prispevamo k spopadanju s problematiko in poskrbimo za izboljšanje delovne prakse.

Language:Slovenian
Keywords:diplomska dela, zdravstvena nega, napake pri aplikaciji zdravil, napake pri ravnanju z zdravili, preprečevanje napak pri aplikaciji zdravil
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:ZF - Faculty of Health Sciences
Place of publishing:Ljubljana
Publisher:[K. Škrab]
Year:2020
Number of pages:34 str.
PID:20.500.12556/RUL-123326 This link opens in a new window
UDC:616-083
COBISS.SI-ID:43648259 This link opens in a new window
Publication date in RUL:19.12.2020
Views:3406
Downloads:685
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Secondary language

Language:English
Title:The nurse's role in medication safety : diploma work
Abstract:
Introduction: Nurses have important role and responsibility in medication administration. Nurse practice involves legal, ethical and professional aspects. They are the final person to check and see if the medication is correctly prescribed and dispensed before administration. Medication errors are the most common adverse event in patient safety. Purpose: The purpose of this paper is to present the problem of common medication errors and find out the most frequent causes for medication errors, as well as present measures for their prevention. Methods: We used the review of literature on medication errors. English scientific and professional literature was searched for in the following databases: CINAHL with full text, MEDLINE, Google Scholar, Science Direct, Wiley Online Library and Cochrane Library. We searched for Slovene literature with COBIB.SI. Searching for suitable literature lasted from January to September 2020. Results: The most common medication errors are: wrong medication, wrong dose, omission error, wrong time and wrong patient. The most frequent causes for medication errors are: interruption or distraction when preparing or administering medication, fatigue resulted from hard work, increased workload, shortage of personnel and lack of pharmacological knowledge. Factors of prevention are: electronic prescribing, using information technology, using safety apps and programs, presence of clinical pharmacist in wards, double checking, non-judgmental work environment, developing a safety culture, separating medication preparation rooms and improving knowledge, attitudes, and practice of nurses in medication administration and pharmacology. Discussion and conclusion: Medication errors are common throughout healthcare and result in significant impact on the well-being of patients and financial cost. Reporting medication errors is crucial for detection and understanding the nature and sources of medication errors. Reporting is the key for researching and applying evidence-based prevention strategies that can decrease medication errors and improve patient safety.

Keywords:diploma theses, nursing care, medication errors, preventing medication errors

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