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目的:减少医疗机构用药差错发生率,提高合理用药水平。方法:从客观和主观因素两方面分析用药差错的原因,并提出相应的防范措施。结果与结论:医疗机构管理的缺陷、药品管理方式落后等是导致用药差错的客观因素;而医师、药师、护理人员执行上的错误,以及患者自身因素等是导致用药差错的主观因素。应采取借鉴并完善用药差错报告系统、建立“非惩罚性”的上报制度、重视药学部门建设等防范措施,以最大程度地减少用药差错发生。
Objective: To reduce the incidence of medication errors in medical institutions and to improve the rational use of drugs. Methods: From the objective and subjective factors analysis of the reasons for medication errors, and put forward corresponding preventive measures. RESULTS AND CONCLUSION: The defects in the management of medical institutions and the backward management of medicines are the objective factors that lead to medication errors. The mistakes made by physicians, pharmacists and nurses, as well as the patient’s own factors, are the subjective factors leading to medication errors. Drug abuse reporting system should be borrowed and improved, the establishment of “non-punitive ” reporting system, pay attention to the construction of pharmacy and other preventive measures to minimize the occurrence of medication errors.