应用PDCA循环管理用药错误风险的效果评价

发布时间：2018-01-12 01:35

本文关键词：应用PDCA循环管理用药错误风险的效果评价　出处：《实用药物与临床》2016年09期 　论文类型：期刊论文

【摘要】：目的评价PDCA循环在医院用药错误风险管理的效果。方法按照PDCA循环的计划、实施、检查、处置程序,对用药错误可能发生的环节进行分析,提出改进措施,通过检查保障实施并制度化。结果实施PDCA循环前,165例用药错误的主要原因是处方辨认不清、药品外观相似和药名相似导致的用药错误(53.94%),其中存在错误隐患但错误未发生(A级)5例,发生错误,但未造成患者伤害(B、C、D级)147例,发生错误且造成患者伤害(E级)3例。实施PDCA循环管理后用药错误37例,均为低风险层级(A、B、C、D级)。结论 PDCA循环是医院用药错误风险管理的有效工具和重要措施。按照PDCA循序渐进、循环往复,可降低用药错误风险,保障用药安全。
[Abstract]:Objective to evaluate the effect of PDCA circulation on the risk management of drug errors in hospital. Methods according to the plan, implementation, inspection and disposal procedure of PDCA cycle, the possible links of drug errors were analyzed. Improvement measures were put forward to ensure the implementation and systematization of PDCA. Results the main reason for the drug errors before PDCA circulation was that the prescriptions were not clearly identified. The drug errors caused by the similarity of drug appearance and drug name were 53.94%, among which there were hidden dangers but no errors occurred in 5 cases of grade A errors, but they did not cause injury to the patients. Among them, 147 cases were grade D, 3 cases were wrong and caused injury to patients, 37 cases were wrong after PDCA circulation management, all of them were low risk levels. Conclusion PDCA circulation is an effective tool and important measure for the risk management of drug errors in hospitals. According to PDCA, the risk of drug errors can be reduced and the safety of drugs can be guaranteed.
【作者单位】：湖北省安陆市普爱医院药剂科;
【分类号】：R954
【正文快照】： 0引言用药错误(Medication errors,ME)是重要的用药风险之一,严重威胁患者的用药安全[1-3]。《医疗机构药事管理规定》中将ME定义为药物在临床使用全过程中出现的、任何可以防范的用药不当,并规定医疗机构应当建立药品不良反应、用药错误和药品损害事件监测报告制度,医疗机构

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