中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2014年
22期
257-259
,共3页
门诊药房%高危药品%安全管理%SHEL模式
門診藥房%高危藥品%安全管理%SHEL模式
문진약방%고위약품%안전관리%SHEL모식
Outpatient pharmacy%High-risk drug%Safety management%SHEL model
目的：探讨SHEL(S-soft：软件部分， H-hard：硬件部分， E-envinnment：临床环境， L-litigant：当事人及他人)模式对门诊药房高危药品管理的有效性，为提高门诊药房高危药品管理提供参考依据。方法实施常规模式管理的门诊药房高危药品作为对照组，实施SHEL模式管理的门诊药房高危药品作为观察组，比较门诊高危药品发药差错事件发生率、发生原因和满意度。结果观察组差错发生率为0.03%，对照组0.18%，观察组因个人素质发生差错占16.67%，低于对照组的62.16%，观察组实施后满意率为98.33%，高于实施前的92.50%，以上比较差异有统计学意义(P<0.05)。结论 SHEL模式降低了门诊药房高危药品发放差错率，人员素质是发药差错的主要原因。
目的：探討SHEL(S-soft：軟件部分， H-hard：硬件部分， E-envinnment：臨床環境， L-litigant：噹事人及他人)模式對門診藥房高危藥品管理的有效性，為提高門診藥房高危藥品管理提供參攷依據。方法實施常規模式管理的門診藥房高危藥品作為對照組，實施SHEL模式管理的門診藥房高危藥品作為觀察組，比較門診高危藥品髮藥差錯事件髮生率、髮生原因和滿意度。結果觀察組差錯髮生率為0.03%，對照組0.18%，觀察組因箇人素質髮生差錯佔16.67%，低于對照組的62.16%，觀察組實施後滿意率為98.33%，高于實施前的92.50%，以上比較差異有統計學意義(P<0.05)。結論 SHEL模式降低瞭門診藥房高危藥品髮放差錯率，人員素質是髮藥差錯的主要原因。
목적：탐토SHEL(S-soft：연건부분， H-hard：경건부분， E-envinnment：림상배경， L-litigant：당사인급타인)모식대문진약방고위약품관리적유효성，위제고문진약방고위약품관리제공삼고의거。방법실시상규모식관리적문진약방고위약품작위대조조，실시SHEL모식관리적문진약방고위약품작위관찰조，비교문진고위약품발약차착사건발생솔、발생원인화만의도。결과관찰조차착발생솔위0.03%，대조조0.18%，관찰조인개인소질발생차착점16.67%，저우대조조적62.16%，관찰조실시후만의솔위98.33%，고우실시전적92.50%，이상비교차이유통계학의의(P<0.05)。결론 SHEL모식강저료문진약방고위약품발방차착솔，인원소질시발약차착적주요원인。
Objective To evaluate the effectiveness of SHEL(Soft Hard Environment Litigant) model on the outpatient pharmacy management of high-risk drugs to provide reference for improving outpatient pharmacy management of high-risk drugs. Methods High-risk drugs in outpatient pharmacy implemented conventional management model as control group, high-risk drugs in outpatient pharmacy implemented SHEL management model as observation group, diagnosis of high-risk drug dispensing errors occurred, the causes and the degree of satisfaction were compared. Results The observation group error rate was 0.03%, 0.18%of the control group, for personal quality errors in observation group accounted for 16.67%, lower than that of the control group 62.16%, satisfaction rate of observation group after implementation(98.33%) was higher than before implementation(92.50%), with statistical significance difference(P<0.05). Conclusion SHEL pattern reduces error rate of high-risk drugs in outpatient pharmacy, the quality of personnel is the main reason for dispensing errors.
