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目的了解用药错误在住院医嘱中的发生情况及其对患者造成的伤害。方法对兰州军区兰州总医院安宁分院2014年5月—2015年6月住院医嘱审核中临床药师发现的用药错误进行分析。结果 276例患者住院医嘱涉及用药错误中患者60岁以上者所占比例最大(59.42%),抗感染药物的发生率最高(20.78%),B级用药错误最常见(69.93%),排前3位的分别是用药频次错误(25.36%)、溶媒选择错误(12.68%)及遴选药物品种错误(8.70%)。经临床药师与临床医生沟通交流后,69.93%的用药错误采取了相应的调整措施。结论为保障患者用药安全,应加强医护人员对用药错误的认识及临床药师对用药错误的识别,避免其发生。
Objective To understand the occurrence of medication errors in hospital orders and their harm to patients. Methods The errors of medication discovered by clinical pharmacists during hospitalization examination of Anning Branch of Lanzhou General Hospital of Lanzhou Military Region from May 2014 to June 2015 were analyzed. Results 276 patients (59.42%) were the patients who were referred for medication misdiagnosis, the rate of anti-infectives was the highest (20.78%), the most frequent was Grade B (69.93%), the top 3 The frequency of medication was incorrect (25.36%), solvent selection was incorrect (12.68%) and the selection of drugs was incorrect (8.70%). After clinical pharmacists and clinicians communicate with each other, 69.93% of medication errors have taken corresponding adjustment measures. Conclusion In order to ensure the safety of patients, the medical staff should be more aware of medication errors and clinical pharmacists should recognize the wrong medication and avoid their occurrence.