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目的:探讨市级医院静脉药物配置中心不合理医嘱及用药情况并提出相应整改措施。方法:对绍兴市人民医院静脉配置中心2013年5月-2015年8月所发生的150起不合理医嘱进行工作差错记录。结果:分析显示,主要的不合理医嘱体现在药物混淆、标签贴错、停药未发现;在差错原因分析中,其中缺乏相关药学知识、缺乏相关规章培训、药物管理不合理所占比例最多(28.67%,25.33%,26.67%)。结论:通过提出针对性的防范措施,可有效降低各类差错事故的发生率,为临床安全用药提供可靠的保障。
Objective: To investigate the irrational orders and medication of intravenous drug delivery centers in municipal hospitals and put forward corresponding rectification measures. Methods: A total of 150 unreasonable medical orders occurred in the Ventilation Center of Shaoxing People’s Hospital from May 2013 to August 2015 were recorded. Results: The analysis showed that the major unreasonable medical orders were confused with the drugs, the labels were wrong, and the withdrawal was not found. In the analysis of the causes of the errors, the lack of related pharmaceutical knowledge and lack of relevant regulations and training led to the largest proportion of unreasonable drug administration 28.67%, 25.33%, 26.67%). Conclusion: By putting forward targeted preventive measures, it can effectively reduce the incidence of various types of error accidents and provide a reliable guarantee for clinical safety medication.