北京大学首钢医院247例处方错误分析及防范措施
发布时间：2018-11-06 08:53
【摘要】：目的:减少北京大学首钢医院(以下简称"我院")门诊专科医师跨科开药所致的处方环节用药错误(以下简称"处方错误"),保障门诊患者用药的安全性、有效性和经济性。方法:采用回顾性研究方法,对我院2013年处方点评中发现的247例处方错误进行统计、分析。结果:247例用处方错误中,跨科开药现象非常普遍;处方错误的分类中,以给药频次和单次给药剂量错误最为常见,分别占23.9%和22.7%,其次是无适应证或超适应证用药和重复给药,各占13.8%;疗程、药品品种、给药途径、禁忌证和溶剂错误共占总用药错误的19.0%。跨科开药导致的处方错误中,较为常见的依次为禁忌证用药、给药数量、给药时间、给药频次和重复给药错误。结论:跨科开药是导致处方错误和患者伤害的重要原因,医院应采取措施减少跨科开药的发生。
[Abstract]:Objective: to reduce the prescription errors caused by prescribing drugs by outpatients in Shougang Hospital of Peking University (hereinafter referred to as "our Hospital"), and to ensure the safety of drug use in outpatients. Efficiency and economy. Methods: 247 cases of prescription errors found in our hospital in 2013 were analyzed retrospectively. Results: in 247 cases of prescription errors, the phenomenon of prescribing drugs across departments was very common. In the classification of prescription errors, the frequency of administration and single dose error were the most common, accounting for 23.9% and 22.7am respectively, followed by unindications or overindications and repeated administration, accounting for 13.8%, respectively. Course of treatment, drug varieties, ways of administration, contraindications and solvent errors accounted for 19.0% of the total drug errors. Among the prescription errors caused by cross-disciplinary prescriptions, the most common ones were contraindications, dosage, time, frequency and repeated administration. Conclusion: cross-disciplinary prescribing is an important cause of prescription errors and injury of patients. Hospitals should take measures to reduce the occurrence of cross-disciplinary prescriptions.
【作者单位】： 北京大学首钢医院药剂科;北京大学药学院药事管理与临床药学系;
【分类号】：R95
，
本文编号：2313812
[Abstract]:Objective: to reduce the prescription errors caused by prescribing drugs by outpatients in Shougang Hospital of Peking University (hereinafter referred to as "our Hospital"), and to ensure the safety of drug use in outpatients. Efficiency and economy. Methods: 247 cases of prescription errors found in our hospital in 2013 were analyzed retrospectively. Results: in 247 cases of prescription errors, the phenomenon of prescribing drugs across departments was very common. In the classification of prescription errors, the frequency of administration and single dose error were the most common, accounting for 23.9% and 22.7am respectively, followed by unindications or overindications and repeated administration, accounting for 13.8%, respectively. Course of treatment, drug varieties, ways of administration, contraindications and solvent errors accounted for 19.0% of the total drug errors. Among the prescription errors caused by cross-disciplinary prescriptions, the most common ones were contraindications, dosage, time, frequency and repeated administration. Conclusion: cross-disciplinary prescribing is an important cause of prescription errors and injury of patients. Hospitals should take measures to reduce the occurrence of cross-disciplinary prescriptions.
【作者单位】： 北京大学首钢医院药剂科;北京大学药学院药事管理与临床药学系;
【分类号】：R95
，
本文编号：2313812
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