我院2012年1月-2013年6月86例用药错误分析及预防对策  

Analysis of 86 Cases of Medication Errors and the Preventive Countermeasures in Our Hospital during Jan.2012-Jun. 2013

作　　者：黄秋明[1] 

机构地区：[1]孝感市中心医院药学部,湖北孝感432000

出　　处：《中国药房》2014年第18期1653-1655,共3页China Pharmacy

摘　　要：目的:了解用药错误(ME)发生特点及其发生原因,为制订和完善医院药品风险防控措施提供依据。方法:对我院2012年1月-2013年6月发生的86例ME回顾性地进行分级、分类、发生原因分析。结果:86例ME中,79.07%为安全隐患,15.12%为轻型,5.81%为重型,未发现G、H、I级ME;有104例次涉及10类错误,排前3位的依次是品种(30.77%)、给药时间(27.88%)、疗程(7.69%);有96例次涉及9种错误原因,排前3位的依次是处方错误(33.33%)、处方辨认不清(14.58%)、药名相似(11.46%)。结论:加强药品风险防控意识,运用信息化、自动化技术,加强高危人群和高危药品的管理,建立ME自愿呈报系统,以切实保障患者用药安全。OBJECTIVE： To understand the occurrence characteristics and causes of medication errors （ME） and provide basis to formulate and perfect the measures of prevention and control of drug risk. METHODS： 86 cases of ME from our hospital during Jan. 2012-Jun. 2013 were retrospectively analyzed in terms of category, classification and causes. RESULTS： Among 86 cases of ME, 79.07% were potential safety hazard, 15.12% were light, 5.81% were severe, ME of category G, H, I had not been found; among 104 cases of classification error, top 3 were drug types （30.77%） , medication time （27.88%） and treatment course （7.69%） ; among 96 cases involving 9 kinds of occurred causes, top 3 were prescribing errors （33.33%）, illegible prescription （14.58%） and the similarity of drug name （11.46%）. CONCLUSIONS： For the safety of patients, it is necessary to strengthen the prevention awareness of drug risks, utilize informational and automatic technology, strengthen management of high-alert groups and high-risk drugs, and establish a voluntary reporting system related to ME.

关 键 词：用药错误 调查分析 风险 预防 对策 

分 类 号：R95[医药卫生—药学] R97