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目的:回顾性分析儿科临床用药过程中所存在的护理风险并制定管理措施,以确保儿科临床用药安全。方法:收集中国医科大学绍兴医院2014年1月~2016年1月儿科护理不良事件中由用药错误引起的护理差错事件和在护理工作质量检查中发现存在用药安全隐患的病例共42例,进行回顾性分析总结,并针对存在的用药安全风险提出具体管理措施。结果:引起用药错误的常见原因包括:医嘱执行错误、操作失误、护理人员药理知识有限、未进行严格查对、药品过期、实习带教不严格等。采取的对应护理措施包括:加强临床医嘱制度、建立规范化科学合理的给药流程、加强护理人员专业技术水平培训、严格落实查对制度、加强药品管理制度的落实力度、严格执行实习带教制度。结论:在临床儿科用药中严格落实各项制度、提高护理人员专业技术水平、建立科学的规范化给药流程能有效减少临床儿科用药差错,对用药安全起到保障作用。
Objective: To retrospectively analyze the nursing risks existing in pediatric clinical medication and make management measures to ensure the safety of pediatric clinical medication. Methods: A total of 42 cases of nursing errors caused by medication errors during the adverse events of pediatric nursing between January 2014 and January 2016 in Shaoxing Hospital of China Medical University and 42 cases of potential safety hazards in the examination of nursing quality were collected. Sexual analysis and summary, and for the existence of medication safety risks to put forward specific management measures. Results: The common causes of medication errors include: doctor’s order execution errors, mistakes in operation, nursing staff limited knowledge of pharmacology, did not conduct a rigorous check, expired drugs, intern training is not strict and so on. The corresponding nursing measures to be taken include: strengthening the clinical doctor’s advice system, establishing a standardized scientific and rational drug delivery process, strengthening the professional and technical training of nurses, strictly implementing the checking system, strengthening the implementation of the drug management system, and strictly implementing the practice teaching system. Conclusion: It is necessary to strictly implement the systems in clinical pediatric medicine, improve the professional technical level of nurses, and establish a scientific and standardized drug delivery process, which can effectively reduce the error of clinical pediatric medication and play a safeguard role in drug safety.