Establishment and analysis of risk prediction model and nomogram of pediatric outpatient nursing medication errors / 中国实用护理杂志

ABSTRACT

Objective:To analyze the influencing factors of nursing medication errors in pediatric outpatient to establish risk prediction model and nomogram for helping pediatric outpatient nurses prevent nursing medication errors.Methods:Totally 172 cases of pediatric outpatient nursing children with nursing medication errors were selected from January 2013 to December 2020 in the Children′s Hospital Affiliated to Zhejiang University School of Medicine as the medication error group and 344 cases of children without medication errors as the non-medication error group, and the indicators of the two groups were compared and analyzed.Results:According to Logistic regression analysis, children′s age, children′s enrollment, administration of narcotic analgesics, administration of anti-fever drugs, micro pump intravenous route of administration, subcutaneous route of administration, nursing age of administration nurse, title of administration nurse were all significant influencing factors of pediatric outpatient nursing administration errors ( P<0.05). To construct the risk prediction model of pediatric outpatient nursing administration error and its AUC area of the model was 0.89 (95% CI 0.84-0.94, P<0.01). The total score of the nomogram was 35-259, and the risk rate was 0.001-0.999. The higher the total score was, the higher the risk of medication errors was. Conclusions:The establishment of pediatric outpatient nursing medication error prediction model and nomogram can provide reference model and tools for the prevention of pediatric outpatient nursing medication error, which has certain clinical value for ensuring the safety of pediatric outpatient medication.