我院住院药房处方调配差错分析与防范  

Analysis and interventions of dispensing errors in inpatient pharmacy

作　　者：曹金华[1] 周燕妮[1] 王慧[1] 黄玉凤[1] 

机构地区：[1]第二军医大学东方肝胆外科医院药材科,上海200438

出　　处：《药学实践杂志》2012年第2期146-148,共3页Journal of Pharmaceutical Practice

摘　　要：目的探索减少药房调配差错的具体措施,提高药品调配工作质量。方法对我院住院药房2009年1月～2011年12月《药品调配差错登记本》记载的差错进行回顾性分析汇总。结果 3年内共发生调配差错101例,其中药物数量差错28例,药物品种差错20例,包装相似差错12例,药物剂量与剂型差错11例,生产厂家差错11例,划价差错6例,退药差错5例,医师处方差错4例,发错科室2例,位置相近取错药2例。结论我科逐步建立了药材科调剂标准化体系,建立了调配工作各个环节标准操作规程,辅以药师定期的业务培训,交流学习及季度绩效考核激励机制,大大提高了住院药房药师的处方审核能力,有效地预防处方调配差错的发生。Objective To explore practical measures to reduce the pharmacies dispensing errors,and improve the quality of drug deployment work.Methods The dispensing errors recorded in the Drug deployment errors registration from January 2009 to December 2011,were collected and analyzed.Results The total quantity of deployment errors was 101 in three years,which had 28 cases of number error,20 cases of species errors,12 cases of packaging similar errors,11 cases of dose/formulation errors,11 cases of manufacturer errors,6 cases of wrong priced,5 cases of drug repercussion,4 cases,of prescription errors 2 cases of dispensing medicine to wrong department,2 cases of taking medicine from nearly wrong place.Conclusions A drug deployment standardized system was gradually established,which includes a standard operating procedures of all aspects of the dispensing work.Supplemented by the pharmacist′s regular professional training,and exchange of learning and quarterly performance appraisal incentive mechanism,the hospital pharmacy pharmacist prescription auditing capabilities was greatly improved,the occurrence of prescription dispensing errors was effective prevented.

关 键 词：药品调配 差错率 住院药房 药学服务 

分 类 号：R95[医药卫生—药学]