給藥錯誤－護理人員之角色與責任

給藥錯誤爲臨床常見的醫療疏失，本文經由文獻查證發現給藥錯誤最常發生的錯誤型態是給錯劑量及給錯藥物，最常給錯的藥物是抗生素，而造成病人嚴重傷害的則是高危險藥物的給藥錯誤。導致護理人員的給藥錯誤原因有許多，可歸納爲系統因素及個人因素，在系統因素上包括有儀器設備、人力及給藥流程寺，而個人因素則包括個人藥物知識程度、計算能力及對政策的遵從性等，在這些因素當中，又以對藥物的知識不足是導致護理人員給藥錯誤的主要原因之一，其中包括了學校教育及在職教育之不足，綜合文獻查證，本文希望能夠提供給護理人員及護理教育作爲參考。

關鍵字

給藥錯誤；護理人員

並列摘要

Medication error is a common clinical mistake in medical treatment. Through review of related literature, this study found that the most common types of medication errors are inaccurate dosage and administration of wrong type of medication. The most common mistakenly administered medication is antibiotics, and medication error that involves high-risk drugs can cause potentially serious damage to patients. Many factors lead to medication error on the part of nurses. These factors can be differentiated as system factors and individual factors. System factors include equipment, human resources, and processes of administering or prescribing medication. Individual factors include extent of knowledge about medication, calculation ability, and adherence to policy. Among these factors, inadequate knowledge of medication is the main cause of medication error among nurses. The reasons behind inadequate knowledge include insufficiencies in both formal nursing education and on the job training. This study conducted a comprehensive literature review to provide references for nurses and nursing education.

並列關鍵字

medication error ； nurses

被引用紀錄

黃婉菁、劉姿伻、李宛珍、李佳倫（2020）。運用兩階段圖像學習提升護理人員急救管理認知正確率。高雄護理雜誌，37(2)，33-44。https://doi.org/10.6692/KJN.202008_37(2).0004

高蔚怡、林佳慧、陶菁、李晴玉（2017）。運用團隊資源管理於提升兒科加護病房新進護理師給藥安全。高雄護理雜誌，34(3)，36-47。https://doi.org/10.6692/KJN.201712_34(3).0004

雍海鵬、唐福瑩（2014）。影響護理人員給藥錯誤通報障礙之文獻探討。健康與建築雜誌，1(2)，76-81。https://doi.org/10.6299/JHA.2014.1.2.R7.76

林貞余（2018）。線上客觀結構式影像測試於提升護理人員給藥自我效能與辨認給藥錯誤行為之成效〔碩士論文，國立成功大學〕。華藝線上圖書館。https://www.airitilibrary.com/Article/Detail?DocID=U0026-0006202200000105

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給藥錯誤－護理人員之角色與責任

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