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目的:分析住院药房处方或医嘱调配环节中的差错原因,为住院患者用药安全和满意度的改善提供参考。方法:选取2015年1—6月间(整改前)及2015年7—12月间(整改后)处方或医嘱,对调配药品环节中存在的差错问题提出防范措施和解决对策。结果:改进长期口服药核对管理后,住院药房处方或医嘱用药调配总差错减少了90.2%;药师对差错医嘱的审出从整改前的261份提高到了整改后的368份。结论:通过改变调配长嘱医嘱口服药的核对方式,合理的药品调配流程提高了药师工作责任心,避免了药品调配差错的发生,保证了患者用药安全。
OBJECTIVE: To analyze the causes of errors in the prescribing of hospital pharmacy or doctor’s advice and to provide references for the improvement of drug safety and satisfaction in hospitalized patients. Methods: The prescriptions or doctor’s advice from January to June in 2015 (before rectification) and July to December in 2015 (after rectification) were selected to put forward preventive measures and solutions to the existing problems in the process of drug blending. Results: After improving the long-term oral drug check-up management, the total error of prescriptions or prescriptions in inpatient pharmacies decreased by 90.2%. The trial of error doctors increased from 261 before rectification to 368 after rectification. Conclusion: By changing the checkup method of oral medication prescribed by the chief physician, a rational drug allocation process improves the pharmacist ’s sense of responsibility, avoids the error of drug formulation and ensures the medication safety of patients.