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001     773440
005     20230408050112.0
024 7 _ |2 HBZ
|a HT020278137
024 7 _ |2 Laufende Nummer
|a 38633
037 _ _ |a RWTH-2019-11105
041 _ _ |a English
082 _ _ |a 610
100 1 _ |0 P:(DE-588)1199210137
|a Hermanspann, Theresa
|b 0
|u rwth
245 _ _ |a Evaluation of the medication process of intravenous preparations in two intensive care units
|c vorgelegt von Theresa Hermanspann
|h print
260 _ _ |a Aachen
|c 2019
300 _ _ |a 1 Band (verschiedene Zählungen) : Illustrationen, Diagramme
336 7 _ |0 2
|2 EndNote
|a Thesis
336 7 _ |0 PUB:(DE-HGF)11
|2 PUB:(DE-HGF)
|a Dissertation / PhD Thesis
|b phd
|m phd
336 7 _ |2 BibTeX
|a PHDTHESIS
336 7 _ |2 DRIVER
|a doctoralThesis
336 7 _ |2 DataCite
|a Output Types/Dissertation
336 7 _ |2 ORCID
|a DISSERTATION
502 _ _ |a Dissertation, Rheinisch-Westfälische Technische Hochschule Aachen, 2019, Kumulative Dissertation
|b Dissertation
|c Rheinisch-Westfälische Technische Hochschule Aachen
|d 2019
|g Fak10
|o 2019-09-18
520 3 _ |l ger
520 _ _ |a Purpose: To determine the type, frequency, and factors associated with medication preparationand administration errors in adult intensive care units (ICUs) and neonatal ICUs (NICUs)/pediatric ICUs (PICUs).Patients and methods: We conducted a prospective direct observation study in an adultICU and NICU/PICU in a tertiary university hospital. Between June 2012 and June 2013, aclinical pharmacist and medical student observed the nursing care staff on weekdays duringthe preparation and administration of intravenous drugs. We analyzed the frequency and typeof preparation and administration errors and factors associated with errors.Results: Six hundred and three preparations in the adult ICU and 281 in the NICU/PICU wereobserved. Three hundred and eighty-five errors occurred in the adult ICU and 38 in the NICU/PICU. There were 5,040 and 2,514 error opportunities, with overall error rates of 7.6% and 1.5%,respectively. The total opportunities for error meant each single step of preparation and administrationthat was relevant for the drug. Most errors applied to the category “uniform mixing”(adult ICU: n=227, 59%; NICU/PICU: n=14, 37%). The multivariate logistic regression resultsshowed a significantly different influence of the “preparation type” for the adult ICU comparedwith the NICU/PICU with regard to the occurrence of an error. Preparations for adult patientsof the LCD type (liquid concentrate with diluent into syringe or infusion bag) were more oftenassociated with errors than the P (powder in a glass vial that must be reconstituted and dilutedif necessary), P=0.012, and LC (liquid concentrate into syringe), P=0.002 type.Conclusion: “Uniform mixing” was the most erroneous preparation step in intravenous drugpreparations in two ICUs. Improvement of nurse training and the preparation of prefilled syringesin the pharmacy might reduce errors and improve the quality and safety of drug therapy.
|l eng
588 _ _ |a Dataset connected to Lobid/HBZ
591 _ _ |a Germany
700 1 _ |0 P:(DE-82)006545
|a Orlikowsky, Thorsten
|b 1
|e Thesis advisor
|u rwth
700 1 _ |0 P:(DE-82)014612
|a Stoppe, Christian
|b 2
|e Thesis advisor
|u rwth
787 0 _ |0 RWTH-CONV-219953
|i RelatedTo
787 0 _ |0 RWTH-CONV-240194
|i RelatedTo
909 C O |o oai:publications.rwth-aachen.de:773440
|p VDB
910 1 _ |0 I:(DE-588b)36225-6
|6 P:(DE-588)1199210137
|a RWTH Aachen
|b 0
|k RWTH
910 1 _ |0 I:(DE-588b)36225-6
|6 P:(DE-82)006545
|a RWTH Aachen
|b 1
|k RWTH
910 1 _ |0 I:(DE-588b)36225-6
|6 P:(DE-82)014612
|a RWTH Aachen
|b 2
|k RWTH
914 1 _ |y 2019
920 1 _ |0 I:(DE-82)537500-2_20140620
|k 537500-2
|l Lehrstuhl für Allgemeine Pädiatrie
|x 0
980 _ _ |a I:(DE-82)537500-2_20140620
980 _ _ |a UNRESTRICTED
980 _ _ |a VDB
980 _ _ |a phd


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