门诊电子处方系统的处方差错分析  

Analysis of prescription errors made by outpatient electronic prescription system

作　　者：蔡志波[1] 林艳[1] 吴妙莲[1] 

机构地区：[1]浙江大学医学院附属儿童医院药剂科,杭州310003

出　　处：《中华医院管理杂志》2008年第12期852-855,共4页Chinese Journal of Hospital Administration

基　　金：浙江省中医药软科学研究计划项目（2006R017）

摘　　要：处方差错是临床医生在开具处方时普遍存在的现象，随着信息技术在医疗领域的发展应用，电子处方系统被认为是有效预防处方差错的最佳解决方案。对该院1年的门诊电子处方的回顾分析显示，它可以明显地减少传统手写处方容易出现的差错，但是并不能有效地减少与剂量有关的差错。主要的原因是医生处方行为的改变以及人机交互缺陷而导致的新类型的处方差错发生。具备基本功能的电子处方系统并不能完全有效杜绝处方差错，病人的用药安全仍存在着潜在的威胁。如何完善电子处方系统的功能、提高人机交互的友好性，减少由系统错误而产生的差错是目前急待解决的问题。Errors in prescriptions are common phenomena in prescriptions produced by clinicians. With development and application of information technology in medical fields, electronic prescription system has been regarded as the best resolution for effective prevention of errors in prescriptions. A retrospective study of the prescriptions made by the electronic prescription system of the hospital studied over one year showed that this system could reduce errors easily made in manual prescriptions significantly, but it failed to reduce the errors related to dosages. Those dosage-related errors were mainly caused by change of physician prescribing behavior and defective man-machine interaction. Electronic prescription system, though functions basically, can not avoid prescription errors effectively, which poses a potential threat to safe use of medicines in patients. It is urgent at the moment to perfect the functions of electronic prescription system, promote a friendly man-machine interaction and reduce errors made by system errors.

关 键 词：医院信息系统 电子处方系统 处方差错 儿童 

分 类 号：R95[医药卫生—药学]