32例给药护理缺陷原因分析及防范对策  

Analysis on the causes and countermeasures of medication errors for 32 cases

作　　者：周春芳[1] 华卓君 陈金花[1] 

机构地区：[1]溧阳市人民医院,江苏溧阳213300

出　　处：《天津护理》2012年第1期29-30,共2页Tianjin Journal of Nursing

摘　　要：目的:分析32例给药缺陷发生的原因,制定防范对策。方法:将给药缺陷按床号、姓名、药名、剂量、用法、时间等错误分类并进行统计分析。结果:给药缺陷发生的原因从高到低依次为查对不全面、未遵守操作规程、工作责任心不强、环节缺陷;不同职称护理人员缺陷发生率从高到低依次为护士、护师、主管护师。结论:如何防范给药缺陷是护理管理者应该深入研究的问题,严格执行各项规章制度,细化工作流程,加强护士培训,加强医护、护患沟通可有效预防给药缺陷的发生。Objective： To explore precaution measures of medication errors from 32 cases. Methods：The 32 cases were classified by the error type：bed code, patients name, drugs name, dosage, usage, time. Then the statistical data were analyzed. Results ：The main reasons of nursing defects were ranked as lax checking, disobeying of the regulations, poor sense of responsibility and link defect from most to least, while junior nurses were more than senior ones. Conclusion：The effective measures include strictly implementing various nursing regulations, refining workflow, strengthening training junior nurses, and improving medical communication.

关 键 词：给药缺陷 原因分析 防范对策 

分 类 号：R197.323[医药卫生—卫生事业管理]