门诊药房常见的发药差错原因与防范措施分析  

Analysis of Reasons and Prevention Countermeasures for Common Dispensing Error in Outpatient Pharmacy

作　　者：刘萍[1] 张卫同[1] 徐子玲[1] 柴栋[1] 

机构地区：[1]解放军总医院海南分院药剂科,海南三亚572013

出　　处：《中国药房》2013年第37期3547-3550,共4页China Pharmacy

摘　　要：目的:为减少门诊药房发药差错提供参考。方法:对某院门诊药房出现的发药差错进行归因分析,找出容易出错的药品及原因,并制订防范措施。结果与结论:常出现发药差错的药品主要表现在外包装相似、药品名称相同而剂量不同、药品名称相同而剂型不同、药品名称相同而厂家不同、药品名称相同而规格不同、药品名称相同而用途不同、药品名称相似等;另外给药途径、时间、剂量、药品数量等交代错误也是常见的发药差错。造成发药差错的原因主要有处方因素、环境因素、患者因素、收费环节因素、管理因素、药师因素等。可通过加强药师责任心、规范调剂流程、调整药房布局、合理调配人员、坚持"唱名"发药、设立醒目标志等进行防范,以减少医院门诊药房发药差错。OBJECTIVE： To provide reference for reducing dispensing error in outpatient pharmacy. METHODS： The reasons for dispensing error in outpatient pharmacy of some hospital were analyzed; the most error-prone drugs and reasons were identified, and various measures to prevent error were performed. RESULTS ＆ CONCLUSIONS： The most error-prone drugs mostly have sim- ilar external packing, same general name with different doses, same general name with different dosage forms, same general name from different manufacturers, same general name with different specifications, same general name with different purposes, similar general name, etc. Common dispensing errors are also caused by false explanation about route of administration, time, dose, num- ber of drugs. Main influential factors of dispensing errors are prescription, environment, patient, charging link, management, phar- macists and so on. The dispensing error of outpatient pharmacy can be reduced by strengthening the responsibility of pharmacists, standardizing dispensing process, adjusting the distribution of pharmacy, assigning personnel resource rationally, dispensing drugs by roll call and setting up marked sign, etc.

关 键 词：门诊药房 发药差错 原因 防范 分析 

分 类 号：R95[医药卫生—药学]