中国药物警戒 ›› 2013, Vol. 10 ›› Issue (3): 181-183.

• 医院药事管理与合理用药 • 上一篇    下一篇

医院药房常见差错隐患的分析及应对措施

张亚南,陈宁   

  1. 北京积水潭医院药剂科,北京 100035
  • 收稿日期:2016-03-09 修回日期:2016-03-09 出版日期:2013-03-08 发布日期:2016-03-09
  • 作者简介:张亚南,女,本科,药师。

Analysis of Common Potential Errors in Hospital Pharmacy and Countermeasures

ZHANG Ya-nan, CHEN Ning   

  1. Department of Pharmacy, Beijing Jishuitan Hospital, Beijing 100035, China
  • Received:2016-03-09 Revised:2016-03-09 Online:2013-03-08 Published:2016-03-09

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摘要： 目的 减少药房常见用药差错隐患,保证患者安全,提高服务质量。方法 对465 例常见差错隐患进行分析,统计差错隐患种类,找出导致差错隐患的原因,提出相应的应对措施。结果 药品品种差错类隐患283 例,占61.5%,居差错发生的第一位。差错发生的主要原因包括：药品名称相近,处方辨识错误,药品包装相近,药位相邻。结论 导致用药差错隐患的原因是多方面的,药房应当结合实际,提出应对措施,从而最大限度地保证患者用药安全。

关键词: 药房, 用药差错隐患, 应对措施

Abstract: Objective To reduce pharmacy potential medication errors to ensure patient safety and improve the quality of service. Methods Analysing 465 cases of errors by statistical errors types, find out the cause of the errors, and put forward the corresponding countermeasures. Results There are 283 cases of errors, accounting for 61.5% , ranking the first place of error occurred. The main reasons that caused the errors include similar name of the drug, prescription identification error, similar drug packaging, and adjacent medicines etc. Conclusion Causes of medication potential errors are various. Based on the realities of pharmacy, the corresponding countermeasures should be put forward to ensure maximum safety of patients.

Key words: pharmacy, potential errors, countermeasures

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