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门诊西药房处方调剂差错分析及防范措施的研究 被引量:16

Study on error analysis and preventive measures of prescription dispensing in Western pharmacy of outpatient clinic
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摘要 目的:分析引起门诊西药房处方调剂差错的因素,据此制订科学的防范措施。方法:从我院门诊西药房管理系统中调取近1年内记录在案的调剂差错处方共计210例作为本次研究的研究对象,应用SPSS17.0统计学软件对210例调剂差错处方的差错类型进行统计归类,并对引起处方调剂差错的因素进行分析。最后根据数据统计分析结果,结合实际工作经验制订有效的防范措施。结果:通过对210例调剂差错处方进行分析发现,引起门诊西药房处方调剂差错的主要因素包括药师因素、医师因素、患者因素和环境因素;其中药师因素主要包括药品数量差错、药品剂型规格差错、药品用法用量差错、药品包装或名称相似发错药、用药禁忌差错等;其中医师因素主要包括用药禁忌差错、药品用法用量差错;其中患者因素包括药品数量差错;而环境因素主要包括环境嘈杂、沟通不良。结论:引起门诊西药房处方调剂差错的因素主要来自药师、医师、患者和环境四个方面,其中来自药师方面的因素是引起门诊西药房处方调剂差错发生的主要因素,鉴于此,门诊西药房需不断强化药师的专业素质和工作质量,加强处方调剂管理,同时增强药师、医师的责任心,不断改善环境、规范管理,才能够有效防范门诊西药房处方调剂差错的发生。 Objective:To analyze the factors causing the error of prescription dispensing in the outpatient pharmacy,and to formulate scientific precautions.Methods:The transfer from the pharmacy management system in our hospital in recent 1 years of record prescription dispensing errors in 210 cases as the research object,the error types in 210 cases of prescription dispensing errors using the SPSS17.0 statistical software for statistical classification,and the causes of prescription errors are analyzed.Finally,according to the results of data statistics and analysis,effective preventive measures are made in combination with actual work experience.Results:through 210 cases of prescription dispensing error analysis showed that the main factors causing outpatient pharmacy prescription errors include pharmacists,doctors and patients factors factors and environmental factors;these factors include the number of errors of drug pharmacists,pharmaceutical dosage form,specification errors drug dosage errors,drug packaging or similar name to send the wrong medicine and contraindication of error;the physician factors include the contraindication of error,drug dosage errors;the patient factors including drug quantity error;and the environmental factor mainly includes environment noise,poor communication.Conclusion:the causes of outpatient pharmacy prescription errors are mainly from four aspects of pharmacists,physicians,patients and the environment,the factors from pharmacists is mainly caused by the factors of outpatient pharmacy prescription errors occurred in view of this,outpatient pharmacy needs strong professional quality and work quality of pharmacists,strengthen prescription at the same time,strengthen management,pharmacist and physician responsibility,continuously improve the environment,standardized management,can effectively prevent the outpatient pharmacy dispensing errors.
作者 周二付
出处 《中医临床研究》 2018年第6期143-145,共3页 Clinical Journal Of Chinese Medicine
关键词 门诊西药房 处方调剂差错 因素 防范措施 outpatient pharmacy prescription error factors preventive measures
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