中国药房2016，Vol.27Issue(23)：3191-3193,3.DOI:10.6039/j.issn.1001-0408.2016.23.08
我院门诊207例用药错误分析
Analysis of 207 Cases of Medication Errors in Outpatient Department of Our Hospital
王璐 1董艳 1李彤 1周庆梅 1杜广清1
作者信息
- 1. 首都医科大学附属北京康复医院药剂科，北京 100041
- 折叠
摘要
Abstract
OBJECTIVE:To provide reference for clinical rational drug use. METHODS:Medication error(ME)cases report-ed from outpatient department from Oct. 2014 to Sept. 2015 in our hospital were analyzed,including ME category,classification, cause and proportion of persons who triggered or detected ME. RESULTS:Among 207 reports,there was no case of category A, 199 cases of category B,8 cases of category C,no of categories D-I. Among them,162 cases occurred in the links of prescrip-tions by doctors (78.26%),45 cases (21.74%) occurred in the links of dispensing prescriptions by pharmacists,the top 3 ME were improper usage(42.59%),improper administration route(40.74%)and inappropriate solvent(5.56%);the top 3 dispensing errors were variety error(40.00%),specification error(28.89%)and number errors(24.44%). The main causes for prescription errors were incomplete information system(56.17%)and drug information missing of doctors(43.83%);the main causes for dis-pensing errors were double specifications of drugs(35.56%),similar drug name(28.89%)and staffsntired(26.67%). In terms of the persons who triggered ME,the proportions of pharmacists,nurses,patients or their families were 97.58%,1.45% and 0.97%, respectively. CONCLUSIONS:Further strengthening information system and the on-the-job training for physicians and pharmacists can reduce the ME to some extent.关键词
门诊/用药错误/调查分析/防范/策略Key words
Outpatient department/Medication error/Investigation and analysis/Prevention/Strategy分类
医药卫生引用本文复制引用
王璐,董艳,李彤,周庆梅,杜广清..我院门诊207例用药错误分析[J].中国药房,2016,27(23):3191-3193,3.
