CAJ | 학술논문

目的：有效提高住院患者口服用药的安全性，降低药疗差错风险。方法用Excel表统计和分析我院住院药房2012年7月-12月发生的单剂量口服缺陷医嘱1696例次。结果缺陷医嘱影响摆药机效率（剂量/单位错误、规格/厂家错误、执行时间与频率次数错误）979例次（57．7％），影响用药安全（医嘱重复、用法用量不正确）717例次（42．3％）。结论采用医嘱单核对分包药品是发现药疗医嘱缺陷不可缺少的环节。通过增强岗位技能培训提高医务人员的审核能力、加强医药护沟通和强化电脑程序可减少缺陷医嘱和不合理用药医嘱数量，是预防药疗差错、提高单剂量口服用药安全性的有效手段。
목적：유효제고주원환자구복용약적안전성，강저약료차착풍험。방법용Excel표통계화분석아원주원약방2012년7월-12월발생적단제량구복결함의촉1696례차。결과결함의촉영향파약궤효솔（제량/단위착오、규격/엄가착오、집행시간여빈솔차수착오）979례차（57．7％），영향용약안전（의촉중복、용법용량불정학）717례차（42．3％）。결론채용의촉단핵대분포약품시발현약료의촉결함불가결소적배절。통과증강강위기능배훈제고의무인원적심핵능력、가강의약호구통화강화전뇌정서가감소결함의촉화불합리용약의촉수량，시예방약료차착、제고단제량구복용약안전성적유효수단。
Objective To Improve inpatient safety of oral drugs , and reduce risk of medication errors .Methods 1 696 oral-order errors caused by prescription and transcription from July to December 2012 were investigated by Excell.Results 979 cases (57.7%) reduced the efficiency of unit-dose automated dispensing machines and 717 cases (42.3%) affected to inpatients’ medica-tion safety.Conclusion It is very important that pharmacists should check drugs packaged unit -dose with prescription paper .It is also an effect means to prevent medication errors that continuing training pharmacists′skill, intensifying communication with clinics and strengthening information technology systems .