围术期用药安全:临床现状与指南解读  

Perioperative medication safety:current practice and guidelines interpretation

作　　者：杨谦梓[1] 薄禄龙[2] YANG Qianzi BO Lulong(Department of Anesthesiology and Perioperative Medicine, Xijing Hospital, Fourth Military Medical University, Xi＇ an 710032 Faculty of Anesthesiology, Changhai Hospital, Second Military Medical University, Shanghai 200433, China)

机构地区：[1]第四军医大学附属西京医院麻醉与围术期医学科,陕西西安710032 [2]第二军医大学附属长海医院麻醉学部,上海200433

出　　处：《麻醉安全与质控》2017年第4期163-167,共5页Perioperative Safety and Quality Assurance

基　　金：上海市优秀青年医学人才培养计划(2017YQ015)

摘　　要：麻醉学正在经历向围术期医学的转型,围术期用药差错所导致的不良后果已经向每一位麻醉医生敲响了警钟。如何查找围术期用药的薄弱环节,减少或避免围术期用药差错,是我们从"麻醉学到围术期医学"发展过程中必须重视和突破的关键问题。围术期用药差错最常见的类型包括药物选择不当、药物过量或不足、给药途径错误、没有给药等。其原因既包括药物包装相似等客观因素,也与麻醉医生注意力不集中等主观因素密切相关。2017年欧洲麻醉学委员会发布《安全用药指南(更新版)》,从注射器准备和标示,药品包装和标签,麻醉医生注意力等6个方面出发,为围术期用药安全的临床操作提供指导依据。作为中国麻醉医生,如何将指南与实际情况结合,切实提高围术期用药安全,则是我们应该深刻探讨的问题。As the anesthesiology is undergoing a transition to perioperative medicine, the medication errors in operating rooms are an emerging challenge to every anesthesia practitioner. How to find out the weakness in practice and avoid the medication errors is the key question to answer during the transition. The most common types of perioperative medication errors include drug swap, wrong dose errors, wrong delivery ways and omitted medication, etc. , which is related to both objective reasons such as the similarity of the drug packaging and the subjective issues such as distractions. In 2017, the European Board of Anaesthesiology Recommendations for Safe Medication Practice （First Update） was published, offering guidance for clinical practice in drug syringe preparation and labeling, drug packaging and labeling, distractions, etc. As a Chinese anesthetist, we ought to think carefully how to combine the guidelines with our own reality to improve the perioperative medication safety in clinic.

关 键 词：用药差错 围术期 麻醉 

分 类 号：R614[医药卫生—麻醉学]