Napake pri dajanju zdravil - vidik medicinskih sester : diplomsko delo

Pezdir, Ana Inja (author), Starc, Andrej (mentor), Grabljevec, Stanko (comentor), Sotler, Robert (reviewer)

Uvod: Izboljšanje varnosti pri uporabi zdravil zahteva sistemski pristop. Ključno za zmanjšanje napak pri dajanju zdravil je razumevanje, kako in zakaj se napake pojavijo. Medicinske sestre najpogosteje dajo zdravilo in so tako po eni strani tiste, ki povzročajo napake pri dajanju zdravil, po drugi strani pa so lahko najpomembnejši člen pri varni uporabi zdravil. Namen: S pregledom najnovejše relevantne literature ugotoviti, kateri so najpomembnejši vzroki za napake pri dajanju zdravil in kateri so najpomembnejši ukrepi za preprečevanje napak pri dajanju zdravil. Metode dela: Izveden je bil pregled domače in tuje literature v bazah podatkov COBIB.si, Google učenjak, Medline (Pubmed), CINAHL in SpringerLink. Za iskanje slovenske literature so bila uporabljena iskalna gesla: "medicinske sestre" IN "napake pri dajanju zdravil", "medicinske sestre" IN "ukrepi za preprečevanje napak pri dajanju zdravil"; za literaturo v angleškem jeziku: "nurses" AND "medication administration errors", "nurses" AND "measures to prevent errors in the medication administration errors". Vključitveni kriteriji za pregled literature so bili: elektronska dostopnost do celotnih besedil, objava v obdobju 2010−2020 in slovenski ali angleški jezik. Rezultati: V končno analizo je bilo uvrščenih 18 člankov. Identificirali smo 40 kod, ki smo jih združili v dve vsebinski kategoriji: vzroki za napake medicinskih sester pri dajanju zdravil in ukrepi pri izgradnji in vzdrževanju varnostnega sistema za namen preprečevanja napak pri dajanju zdravil. Razprava in zaključek: Napake pri dajanju zdravil so relativno pogoste. Vzroki za napake pri dajanju zdravil so človeške in sistemske narave. Zdravstvene organizacije morajo ustvariti neobtoževalno organizacijsko kulturo, da zaposleni brez strahu poročajo o napakah pri dajanju zdravil. Manj raziskan je odnos medicinskih sester do varnostnih praks. Prav tako je premalo raziskana povezava med varnostnimi praksami in kompetencami, znanji ter stališči medicinskih sester.

• Language: Slovenian
• Keywords: diplomska dela, zdravstvena nega, zdravstvo, kakovost, varnost, varnostni sistemi, varnostni ukrepi
• Work type: Bachelor thesis/paper
• Typology: 2.11 - Undergraduate Thesis
• Organization: ZF - Faculty of Health Sciences
• Place of publishing: Ljubljana
• Publisher: A. I. Pezdir
• Year: 2021
• Number of pages: 31 str.
• PID: 20.500.12556/RUL-124977
• UDC: 616-083
• COBISS.SI-ID: 53167363
• Publication date in RUL: 26.02.2021

PEZDIR, Ana Inja, 2021, Napake pri dajanju zdravil - vidik medicinskih sester : diplomsko delo [online]. Bachelor’s thesis. Ljubljana : A. I. Pezdir. [Accessed 6 March 2025]. Retrieved from: https://repozitorij.uni-lj.si/IzpisGradiva.php?lang=eng&id=124977

Secondary language

• Language: English
• Title: Medication administration errors - nurses` perspective : diploma work

Abstract

Introduction: Improving the safety of medicines requires a systemic approach. Understanding how and why errors occur is key to reducing medication administration errors. Nurses most often give medication and are, on the one hand, the ones that cause medication administration errors, and on the other hand, they may be the most important link in the safe use of medicines. Purpose: To review the latest relevant literature to determine the most important causes of medication administration errors and the most important measures to prevent medication administration errors. Methods: A review of domestic and foreign literature in the databases COBIB.si, Google Scholar, Medline (Pubmed), CINAHL and SpringerLink was performed. Search passwords were used to search for Slovenian literature: “nurses" AND "medication administration errors", "nurses" AND "measures to prevent errors in the medication administration errors". Inclusion criteria for the literature review were electronic accessibility to full texts, publication in the period 2010–2020 and Slovene or English language. Results: 18 articles were included in the final analysis. We identified 40 codes, which were grouped into two content categories: causes of nurses’ errors in administering medications and measures in building and maintaining a safety system for the purpose of preventing errors in administering medications. Discussion and conclusion: Medication administration errors are relatively common. The causes of medication administration errors are human and systemic. Healthcare organizations need to create a nonaccusatory organizational culture so that employees can report medication errors without fear. Less explored are nurses’ attitudes toward safety practices. The link between safety practices and competencies, knowledge and attitudes of nurses is also insufficiently researched.

• Keywords: diploma theses, nursing care, health, quality, safety, security systems, security measures