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目的分析药房药品调配差错因素,并提出相应的防范措施。方法收集医院2014年1月-2016年12月发生的78例药房药品调配差错事件,重点分析调配差错类型及调配差错发生的因素,并提出相应的防范措施。结果 2年共发生药品调配差错78例,其中药品品种差错所占比例最高(44.87%);其次是药品数量差错(24.36%);还有药品规格剂型差错、错发患者及药品不合格。导致药品调配差错发生因素包括:医师因素、药师因素及药房管理因素。结论全面提高医师、药师综合业务水平,规范药房管理,增强风险责任意识,时刻把患者的生命安全放在首位,是防范调配差错发生的关键。
Objective To analyze the error factors of pharmacy drug deployment and propose corresponding preventive measures. Methods A total of 78 pharmacy drug mismatch incidents occurred in the hospital from January 2014 to December 2016 were collected. The types of maladjustments and the factors that caused the maladjustment were analyzed emphatically, and corresponding preventive measures were put forward. Results In the past two years, 78 cases of drug misallocation occurred. Among them, the proportion of misdirected medicines was the highest (44.87%); followed by the quantity of medicines (24.36%); Factors that cause errors in the formulation of medicines include: physician factors, pharmacist factors and pharmacy management factors. Conclusion It is the key to guard against the occurrence of maladjustment errors by comprehensively improving the comprehensive professional level of doctors and pharmacists, standardizing pharmacy management and enhancing the sense of risk responsibility, putting patient safety first.