我院2006-2013年中成药用药失误分析与药房风险管理  

Analysis of Medication Errors of Chinese Patent Medicine and Pharmacy Risk Management in Our Hospital during 2006-2013

作　　者：郭景仙[1] 周京燕[1] 唐嫚[1] 朱溢勇[1] 林小兰[1] 

机构地区：[1]首都医科大学官武医院药剂科,北京100053

出　　处：《中国药房》2014年第19期1796-1799,共4页China Pharmacy

摘　　要：目的:促进医院药房风险管理,提高处方质量,保证患者用药安全。方法:对我院2006年1月-2013年12月中成药处方数据和同期用药失误登记表,按照造成用药失误的不同原因和影响因素进行分类、统计、分析和评价。结果:2006-2013年,共有中成药处方5 687 021张,用药失误52 024例,占处方总张数的0.91%;其中医生处方用药失误33 037例,占处方总数的0.58%;收费差错11 254例,占处方总数的0.20%;药师调剂失误7 733例,占处方总数的0.14%。结论:保证患者用药安全,仅仅依靠药师个人责任心是完全不够的,必须通过完善系统、流程、规章制度等方式加强医院药房的风险管理,减少用药失误,防范处方差错。OBJECTIVE： To summarize the medication errors of Chinese patent medicine, and to promote the ability of risk management in hospital pharmacy and the quality of prescription so as to guarantee the safety of drug use in patients. METHODS： The data of Chinese patent medicine prescriptions and concurrent medication errors table in the hospital during Jan. 2006-Dec.2013 were classified, analyzed and evaluated statistically according to different causes and influential factors. RESULTS： There were 5687021 Chinese patent medicine prescriptions in total during 2006-2013, 52024 cases of medication errors accounted for 0.91% of the total; the doctor＇s prescription medication errors in 33037 cases, accounting for 0.58% of the total number of prescriptions; 11254 cases of charge mistake accounted for 0.20% of the total; 7733 cases of pharmacists dispensing error accounted for 0.14% of the total. Chinese medicine pharmacists faced 24.67 risk points every day in average. CONCLUSIONS： To ensure medication safety, it is not enough to solely depend on the pharmacist＇ s individual responsibility; the risk management of hospital pharmacy can be strengthened by perfecting the system, procedures, rules and regulations to reduce medication errors and prevent prescrip- tion errors.

关 键 词：中成药 用药失误 风险管理 

分 类 号：R286[医药卫生—中药学]