To discuss the impact of setting up medication error reporting system on the incidence of medication error. METHODS: By a retrospective study, the medication error events reported between Aug. 1, 2003 and Dec. 31, 2006 collected from our hospital were analyzed in respect of the causes and probability of the medication error. RESULTS: The use of CPOE (computerized prescriber order entry) alert system resulted in marked improvement of all kinds of controversial prescriptions, down 45.6%～90.3% in medication error rate. CONCLUSION: The medication error reporting system enables pharmacists to identify and report medication errors. Doctor and patient-centered health care can be carried out more effectively by establishing a multidisciplinary prescription review group consisting of pharmacists, nursing staff, information personnel and risk-management personnel with physicians and patients as the core that affiliated to pharmaceutical affairs council in which the members can discuss the controversial prescriptions together and regularly share their experiences.%目的:探讨架设异常处方通报系统后对于处方异常发生率的影响.方法:采用回溯性方法,搜集我院2003年8月1日～2006年12月31日处方异常通报事件,分析发生处方异常的原因与几率.结果:由计算机医嘱提示后,各种争议性处方类型获得明显改善,改善成效范围在45.6%～90.3%之间.结论:该系统的架设有益于药师的提报,然而若能以医师及病患为中心,跨部门的合作,纳入药师、护理人员、信息人员等,共同组成一附属于药事委员会的争议性处方讨论小组,定期讨论分享经验,才更能落实"以病人为中心"的健康照护.
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