住院药房常见用药差错原因与防范措施分析

摘要

目的：分析住院药房常见的用药差错的原因及防范措施。方法：将90例用药差错事件作为研究对象，对不同的差错类型进行分类，总结差错发生原因，依此制定针对性的防范措施。结果：90例用药差错事件主要包括药品发错(44.44%)、数量发错(24.44%)、混淆病区(15.56%)、遗漏差错(13.33%)、质量差错(2.22%)，发生原因包括药品、药师、流程、配送、环境5大因素。结论：导致住院药房出现用药差错的原因较多，明确这些因素并采用针对性的防范措施，能够提高用药安全性、准确性。%Objective:To analyze the causes and preventive measures of common medication errors in inpatient pharmacy. Methods:90 cases of medication errors events were as the study objects.The different error types were classified.The error causes were summarized.The corresponding preventive measures were formulated according to this.Results:90 cases of medication error events included the drug hair wrong(44.44% ),number hair wrong(24.44% ),wards confusion(15.56% ),omission errors(13.33% ), quality error(2.22%).The causes include drug, pharmacists, processes,distribution,environment this five factors.Conclusion:There are many reasons that lead to medication errors in inpatient pharmacy.Clearing these factors and adopting corresponding preventive measures can improve the safety and accuracy of medication.