摘要
目的:探讨在医院临床药物治疗用药错误的分布特点,为制定用药错误风险管理持续改进方案提供参考依据。方法:回顾性分析统计采用问题病案,对2014年1月至2016年12月北京水利医院住院病区疑似用药错误的各类记录和数据进行分析。结果:疑似用药错误共计986例,主要存在于医生、护士、药师及患者4个方面,分别为50.31%、39.04%、8.45%和2.20%,差异均有统计学意义(P<0.05)。医生处方环节中选药错误、用量错误和用法错误分别占63.42%、13.17%和12.66%;护士给药环节中给药错误49.6%,药品储存错误30.71%,配药错误10.24%;药师发药环节中,品种错误34.00%,分剂量错误32.00%,数量错误30.00%;患者用药错误22例,用法错误18例,用量错误4例。经过临床药师的干预,医院用药错误逐年减少,差异有统计学意义(P<0.05)。结论:作为临床药物治疗风险的重要组成部分,用药错误可发生在临床药物治疗过程的各个环节,尤其是处方和给药环节。
Objective To understand the distribution features of the medication errors in clinical drug therapy, and to provide references for the development of a program to continuously improve the risk management of medication errors. Methods A retrospectively statistical analysis of medical records was performed by collecting all kinds of records and data about suspected medication errors in every ward of Beijing water Resoun Hospital from January 2014 to December 2016. Results 986 cases of suspected medication errors were analyzed, the medication errors have occurred among doctors, nurses, pharmacists and patients, and the constituent ratios were 50.31%, 39.04%, 8.45% and 2.20%, respectively, difference was statistically significant （P 〈0.05）. Errors in drug choice, dosage and usage in doctors＇ prescription accounted for 63.42%, 13.17% and 12.66% respectively, errors in administration, storage and dispensing made by nurses accounted for 49.6%, 30.71% and 10.24% respectively, errors in type, distributing dosage and quantity made by pharmacists accounted for 34.00%, 32.00% and 30.00%,respectively. Patients taking wrong medications, wrong usage and dosage were for 2.23（22/986）, 1.82%（18/986）, 0.41%（4/986）, respectively.Through intervention of clinical pharmacist, medication errors had been reduced year by year in three years, difference was statistically significant（P 〈0.05）. Conclusion Medication errors occur in all aspects of clinical drug therapy, especially in the courses of prescription and administration.
作者
王丽娜
李秀成
赵连山
蔡秀凤
艾超
WANG Li-na1, LI Xiu-cheng1, ZHAO Lian-shan1, CAI Xiu-feng1, AI Chao2.(1.Department of Pharmacy, Beijing Water Resources Hospital, Beijing 100036, China;2. Department of Pharmacy, Beij＇ing Tsinghua Changgung Hospital Beijing 102218, China)
出处
《临床药物治疗杂志》
2018年第2期77-79,共3页
Clinical Medication Journal
