HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME

Cebeci, Fatma; BİŞKİN, Songül

HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME

Songül BİŞKİN, (Akdeniz Üniversitesi Hastanesi, Kalite Geliştirme Birimi, Antalya, Türkiye)

Fatma CEBECİ (Akdeniz Üniversitesi, Hemşirelik Fakültesi, Cerrahi Hastalıkları Hemşireliği Anabilim Dalı, Antalya, Türkiye)

Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi

8 5

Yıl: 2018 Cilt: 21 Sayı: 3 Sayfa Aralığı: 203 - 217 Metin Dili: Türkçe İndeks Tarihi: 21-10-2020

HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME

Öz:

Amaç: Hemşirelerin, hastanede ilaç uygulama hatalarının önlenmesine yönelik yaptığı uygulamalarıiçeren makalelerin sistematik biçimde incelenmesidir.Yöntem: Bu sistematik derlemede EBSCOhost, MEDLINE, CINAHL, PUBMED ve ULAKBİM TIP veritabanları taranmış, konu ile ilgili 1509 ulusal ve uluslararası yayına ulaşılmıştır. Bu çalışmaların hepsi gözdengeçirilerek hemşirelerin hastanede ilaç hatalarının önlenmesine yönelik uygulamalarını kapsayan ve dahiledilme kriterlerine uygun yirmi sekiz araştırma değerlendirilmiştir. Çalışma Ocak 2000 ve Şubat 2017 tarihleriarasında yayınlanan makaleleri kapsamaktadır. Tüm yayınlar çalışma yöntemleri ve bulguları açısındansistematize edilerek incelenmiştir.Bulgular: Bu sistematik inceleme sonucunda ilaç uygulama hatalarının önlenmesine yönelik uygulananstratejilerin, ülkelerin ve hastanelerin koşullarına ve özelliklerine göre farklılık gösterdiği görülmüştür.Değerlendirmeye alınan çalışmalarda hemşirelerin hataları önlemeye yönelik olarak; eğitim (online, webtabanlı, simülasyon) teknoloji (barkod teknolojisi, bilgisayar destekli istem girişi) ve farklı yöntem veuygulamaların bir arada kullanmalarının (kesinti ve bölünmelerin önlenmesi, doğru ilkeler, politika veprosedürler) etkili olduğu belirlenmiştir.Sonuç: İlaç uygulama hataları, hastaların yaşamlarını tehdit eden önemli bir sorundur. Konu ile ilgiliçalışmaların sistematize edilmesi ile sorunun çözümüne yönelik bilimsel kanıtlara ulaşılmıştır. Bu bulgulargelecekte yapılacak çalışmaların kapsamını belirlemede ve klinik alanlarda ortaya çıkan sorunların çözümüneyönelik önlemlerin planlanmasında yararlı olabilir.

Anahtar Kelime:

Strategies for reducing medication administration errors in hospital setting: Systematic Review

Öz:

Aim: A systematic review of the articles containing practices carried out by nurses to prevent medication errors in hospitals. Method: Medical databases of EBSCOhost, MEDLINE, CINAHL, PUBMED and ULAKBIM were scanned and 1509 national and international publications were reached for this systematic review. All of these studies were reviewed, and twenty-eight studies that included the practices carried out by nurses to prevent medication errors in hospitals and met the inclusion criteria were assessed. This study covers the articles published between January 2000 and February 2017. All the publications were examined systematically in terms of their study methods and findings. Results: As a result of this systematic review, it has been found out that the strategies implemented to prevent medication errors differ by conditions and qualities of countries and hospitals. It is determined in the studies evaluated that the combined use of education (online, web-based, simulation), technology (bar-code technology, computerized physician order entry) and different methods and practices by nurses to prevent medication errors (prevention of interruptions, the right principles, policies and procedures) has been effective. Conclusion: Medication errors are a major problem that threatens patients' lives. Scientific evidence for the solution of the problem has been reached by systematizing the studies related to the subject matter. These findings can be useful in determining the scope of future studies and planning measures to address the problems that arise in clinical fields.

Anahtar Kelime:

Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık

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APA	BİŞKİN S, Cebeci F (2018). HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. , 203 - 217.
Chicago	BİŞKİN Songül,Cebeci Fatma HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. (2018): 203 - 217.
MLA	BİŞKİN Songül,Cebeci Fatma HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. , 2018, ss.203 - 217.
AMA	BİŞKİN S,Cebeci F HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. . 2018; 203 - 217.
Vancouver	BİŞKİN S,Cebeci F HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. . 2018; 203 - 217.
IEEE	BİŞKİN S,Cebeci F "HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME." , ss.203 - 217, 2018.
ISNAD	BİŞKİN, Songül - Cebeci, Fatma. "HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME". (2018), 203-217.

APA	BİŞKİN S, Cebeci F (2018). HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21(3), 203 - 217.
Chicago	BİŞKİN Songül,Cebeci Fatma HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 21, no.3 (2018): 203 - 217.
MLA	BİŞKİN Songül,Cebeci Fatma HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, vol.21, no.3, 2018, ss.203 - 217.
AMA	BİŞKİN S,Cebeci F HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2018; 21(3): 203 - 217.
Vancouver	BİŞKİN S,Cebeci F HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME. Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi. 2018; 21(3): 203 - 217.
IEEE	BİŞKİN S,Cebeci F "HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME." Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi, 21, ss.203 - 217, 2018.
ISNAD	BİŞKİN, Songül - Cebeci, Fatma. "HASTANEDE İLAÇ HATALARININ ÖNLENMESİNE YÖNELİK HEMŞİRELERİN YAPTIĞI UYGULAMALAR: SİSTEMATİK DERLEME". Anadolu Hemşirelik ve Sağlık Bilimleri Dergisi 21/3 (2018), 203-217.