探究综合性预防措施在减少药房发药差错及隐患中的应用价值  

To Explore the Value of Comprehensive Preventive Measures in Reducing Drug Dispensing Errors and Hidden Dangers in Pharmacies

作　　者：杨毅[1] YANG Yi(Shenyang Fourth People’s Hospital,Shenyang 110031,China)

机构地区：[1]沈阳市第四人民医院,辽宁沈阳110031

出　　处：《中国医药指南》2020年第14期290-291,共2页Guide of China Medicine

摘　　要：目的探究药房发药管理中实施综合性预防措施对降低发药差错及隐患事件发生率的效果。方法我院于2018年2月开始在药房发药管理中实施综合性预防措施,随机抽取并统计2017年3月至2018年1月期间我院药房为其发药的500例患者,以及2018年2月至12月期间我院药房为其发药的500例患者在发药过程中发生差错事件以及隐患事件发生率,并对综合性预防措施实施前后发药差错事件以及隐患事件发生率进行统计学比较分析。结果实施综合性预防措施前药房发药差错事件发生率8.40%,实施后药房发药差错事件发生率3.20%,实施后该指标显著下降,差异有统计学意义(P<0.05);实施综合性预防措施前药房发药隐患事件发生率7.40%,实施后药房发药隐患事件发生率1.80%,实施后该指标显著下降,差异有统计学意义(P<0.05)。结论医院药房发药工作中常见差错事件和隐患事件主要包括处方错误、剂型剂量错误、数量错误、使用错误等,均可能对患者的临床疗效及预后造成不良影响,还会延长患者治疗时间,增加患者经济负担,通过综合性预防措施的实施可有效降低发药差错事件发生率,规避发药隐患风险,提升患者治疗效果以及用药安全性,这对于患者的抗拒有积极影响,因此该种管理模式值得用于另推广。Objective To explore the effect of implementing comprehensive preventive measures in drug delivery management to reduce the incidence of errors and hidden events.Methods In February 2018,our hospital began to implement comprehensive preventive measures in the pharmacy drug administration,randomly selected and counted 500 patients who were given medicines in our hospital pharmacy from March 2017 to January 2018,and 2018.During the period from February to December of the year,500 patients who were given medicines in our hospital had errors and hidden events during the drug delivery process,and the incidence of drug errors and the incidence of hidden dangers before and after the implementation of comprehensive preventive measures.Statistical comparative analysis.Results The incidence of error-producing incidents in pre-pharmaceutical pharmacies was 8.40%,and the incidence of pharmacy error-producing events was 3.20%.After implementation,the index decreased significantly,and the difference was statistically significant(P<0.05).The incidence of hidden dangers in pre-pharmaceutical pharmacies was 7.40%,and the incidence of hidden dangers in the pharmacy was 1.80%.After the implementation,the index decreased significantly,and the difference was statistically significant(P<0.05).Conclusion Common error events and hidden dangers in hospital pharmacy drug delivery mainly include prescription errors,dosage form dose errors,quantitative errors,and incorrect use,which may adversely affect the patient’s clinical efficacy and prognosis,and prolong the treatment time.Increasing the economic burden of patients,through the implementation of comprehensive preventive measures can effectively reduce the incidence of drug error events,avoid the risk of drug injection risks,improve patient treatment and medication safety,which has a positive impact on patient resistance,so this kind of management The model is worthy of being promoted.

关 键 词：综合性预防措施 药房发药工作 差错 隐患 

分 类 号：R952[医药卫生—药学]