我院106例用药错误病例分析与风险防范
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篇名: | 我院106例用药错误病例分析与风险防范 |
TITLE: | |
摘要: | 目的:探讨药师在用药错误识别和防范中的作用。方法:收集我院2013年1月-2014年12月用药错误病例106例,统计并分析用药错误的类型、原因、涉及药品和引发的人员,并结合我院实际情况提出风险防范措施。结果:106例用药错误病例中,药品品种错误占47.17%;用药错误原因主要为药品外观和通用名相似,所占比例分别为25.47%和17.92%;引发差错的人员主要为初级药师,有87例(82.08%)。结论:药师可在防范用药错误方面发挥作用,包括落实制度管理、加强处方电子化信息化管理、建立合理用药网络平台、改善工作环境、人员培训等,这对提高医护患用药安全意识,减少用药错误发生,促进合理用药具有积极作用。 |
ABSTRACT: | OBJECTIVE: To explore the role of clinical pharmacists in medication errors (ME) recognition and prevention, and to formulate related ME prevention measures. METHODS: 106 cases of ME were collected from our hospital during 2013 to 2014, and analyzed statistically in respects of types, reasons, involved drugs and staff. Then some risk prevention approaches were proposed under the existing circumstances. RESULTS: Among 106 cases of ME, type error accounted for 47.17%; reasons for ME mainly were similar appearance and general name, accounting for 25.47% and 17.92%; involved staff mainly were primary pharmacists, involving 87 cases (82.08%). CONCLUSIONS: Practical measures for ME prevention included implementing system management, strengthening electronic and informatization management, establishing reasonable medication network platform, improving working environment and staff training, etc. Pharmacists can play role on ME prevention, which have the positive effects on improving safety consciousness in physicians, nurses and patients, reducing ME and promoting rational drug use. |
期刊: | 2016年第27卷第2期 |
作者: | 李丽莉,金锐 |
AUTHORS: | LI Lili,JIN Rui |
关键字: | 用药错误;原因分析;风险防范;药师 |
KEYWORDS: | Medication errors; Reason analysis; Risk prevention; Pharmacist |
阅读数: | 661 次 |
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