苏州某医院老年精神疾病患者抗感染药物用药错误分析  

Analysis of Medication Errors of Anti-Infective Drugs in Elderly Patients with Mental Illness in a Hospital of Suzhou

作　　者：瞿淑雯 顾天嘉 钱正康 高振勇[1] Qu Shuwen;Gu Tianjia;Qian Zhengkang;Gao Zhenyong(Suzhou Guangji Hospital,Suzhou 215100,Jiangsu Province,China)

机构地区：[1]苏州市广济医院,江苏苏州215100

出　　处：《中国社区医师》2025年第3期3-5,共3页Chinese Community Doctors

摘　　要：目的:分析苏州某医院老年精神疾病患者抗感染药物用药错误的特点。方法:收集2021年4月—2023年3月苏州市广济医院精神科老年患者抗感染药物用药错误报告,统计抗感染药物用药错误类型、主要责任人、用药错误原因、用药错误分级情况。结果:共96例患者发生抗感染药物用药错误,排名前3位的用药错误类型分别为药物用法用量错误、药物溶媒选择不当、药品适应证与诊断不符;引发抗感染药物用药错误的主要责任人以医生为主,占比为94.79%;引发抗感染药物用药错误的主要原因为医护人员相关用药知识欠缺,培训不足,构成比为93.75%;老年精神疾病患者抗感染药物用药错误分级以B级为主(占69.79%),其次为C级(占23.96%)。结论:老年精神疾病患者抗感染药物用药过程中存在一定的用药错误风险,医院应强化医生、药师等人员的用药相关知识培训,提高临床用药合理性,确保患者用药安全。Objective:To analyze the characteristics of medication errors of anti-infective drugs in elderly patients with mental illness in a hospital of Suzhou.Methods:The reports of medication errors of anti-infective drugs in elderly patients at the Department of Psychiatry at Suzhou Guangji Hospital from April 2021 to March 2023 were collected.The types of medication errors of anti-infective drugs,main responsible persons,causes of medication errors,and classification of medication errors were counted.Results:Medication errors of anti-infective drugs occurred in 96 patients.The top 3 types of medication errors were drug usage and dosage errors,inappropriate selection of drug solvent,and inconsistence between drug indication and diagnosis.The main responsible persons leading to medication errors of anti-infective drugs were doctors,accounting for 94.79%.The main causes of medication errors of anti-infective drugs were lack of relevant medication knowledge in medical staff and insufficient training,accounting for 93.75%.The classification of medication errors of anti-infective drugs in elderly patients with mental illness was mainly grade B(accounting for 69.79%),followed by grade C(accounting for 23.96%).Conclusion:There is a certain risk of medication errors in the use of anti-infective drugs for elderly patients with mental illness.Hospitals should strengthen the medication knowledge training of doctors,pharmacists and other personnel,improve the rationality of clinical medication,and ensure the safety of medication for patients.

关 键 词：老年 精神疾病 抗感染药物 用药错误 

分 类 号：R969.3[医药卫生—药理学]