中药调剂常见差错及相应措施探讨  

Discussion on Common Deviation in TCM Dispensing and Corresponding Measures

作　　者：褚英[1] 

机构地区：[1]凉山州第二人民医院,四川西昌615000

出　　处：《中国中医药信息杂志》2016年第5期123-126,共4页Chinese Journal of Information on Traditional Chinese Medicine

摘　　要：目的探讨中药调剂中常见的差错及应采取的对应措施。方法选取2012年9月-2014年9月间在本院门诊中药房发生的中药调剂差错病例103例,回顾性整理分析病例相关资料和影响中药调剂质量的相关因素,并针对每类因素制定相应的防范对策。结果全部病例的年龄和性别对本研究中药调剂差错的统计均无影响。103例中药调剂差错病例中,因药品因素导致调剂差错的病例共41例,其中药品包装相似9例、药品名称相近12例、药品质量问题2例、药品摆放不规范18例;因调配因素导致差错的病例共33例,其中剂量误差8例、饮片调剂过程浪费8例、饮片替代17例;因处方因素导致差错的病例共29例,其中处方录入差错13例、审方差错11例、忽视处方注脚5例。结论中药调剂中常见差错及原因较为复杂,针对这些差错应采取及时准确的应对措施,提高中药调剂质量,确保安全有效。Objective To discuss the common deviation in TCM dispensing and corresponding measures. Methods Totally 103 cases of TCM deviation happened in the TCM dispensary of outpatient clinic in our hospital from September 2012 to September 2014 were selected. Retrospective analysis was conducted to analyze case related data collation and factors that affect the quality of TCM dispensing. Corresponding measures for each factor were designed.Results Age and gender of all the 103 cases showed no influence on the statistics of TCM deviation in the study. Among the 103 cases of TCM deviation, 41 cases were caused by factors about medicine. Among the 41 cases, 9 cases were about similar packaging; 12 cases were about similar medicine names; 2 cases were about quality problems; 18 cases were about lack of standardization in medicine placement. 33 cases were caused by factors about deployment, among which, 8 cases were about dosage error, 8 cases were about waste in the preparation process of TCM decoction pieces, 17 cases were about replacement of TCM decoction pieces. 29 cases were caused by factors about prescriptions, among which, 13 cases were about errors of prescription entering deviation, 11 cases were about prescription examining deviation, 5 cases were about ignorance of prescription footnotes. Conclusion Common deviation in TCM dispensing and the reasons are complicated. Timely and correct measures targeting them should be taken to improve the quality of TCM dispensing and guarantee safety.

关 键 词：中药调剂学 调剂差错 干预措施 

分 类 号：R288[医药卫生—中药学]