中国现代医生
中國現代醫生
중국현대의생
CHINA MODERN DOCTOR
2014年
23期
96-99
,共4页
给药管理%给药近似错误%给药错误%影响因素
給藥管理%給藥近似錯誤%給藥錯誤%影響因素
급약관리%급약근사착오%급약착오%영향인소
Administration management%Administration of the approximation error%Medication errors%Influencing factors
目的：找出给药近似错误的影响因素，从根本上降低给药近似错误的发生率。方法对某三级医院给药近似错误的181例案例进行回顾性分析。结果给药近似错误发生率在调查期内逐年下降；药物错误、剂量错误在给药近似错误中的比例占60%以上；药物准备阶段发生近似错误的比例占60%以上；90%以上给药近似错误发生在白天；职称、工作年限和系统设备对降低给药近似错误有重要影响；不遵守工作流程、违反操作规程、因干扰工作连续性中断、沟通缺乏、粗心疏忽、记忆错误、药品相似性、信息系统信号差等因素是造成给药近似错误的主要原因。结论规范给药管理制度，将给药管理视为整体，实行全员的“Five Rights”管理。
目的：找齣給藥近似錯誤的影響因素，從根本上降低給藥近似錯誤的髮生率。方法對某三級醫院給藥近似錯誤的181例案例進行迴顧性分析。結果給藥近似錯誤髮生率在調查期內逐年下降；藥物錯誤、劑量錯誤在給藥近似錯誤中的比例佔60%以上；藥物準備階段髮生近似錯誤的比例佔60%以上；90%以上給藥近似錯誤髮生在白天；職稱、工作年限和繫統設備對降低給藥近似錯誤有重要影響；不遵守工作流程、違反操作規程、因榦擾工作連續性中斷、溝通缺乏、粗心疏忽、記憶錯誤、藥品相似性、信息繫統信號差等因素是造成給藥近似錯誤的主要原因。結論規範給藥管理製度，將給藥管理視為整體，實行全員的“Five Rights”管理。
목적：조출급약근사착오적영향인소，종근본상강저급약근사착오적발생솔。방법대모삼급의원급약근사착오적181례안례진행회고성분석。결과급약근사착오발생솔재조사기내축년하강；약물착오、제량착오재급약근사착오중적비례점60%이상；약물준비계단발생근사착오적비례점60%이상；90%이상급약근사착오발생재백천；직칭、공작년한화계통설비대강저급약근사착오유중요영향；불준수공작류정、위반조작규정、인간우공작련속성중단、구통결핍、조심소홀、기억착오、약품상사성、신식계통신호차등인소시조성급약근사착오적주요원인。결론규범급약관리제도，장급약관리시위정체，실행전원적“Five Rights”관리。
Objective To find the approximate error factors influence of dosing, fundamentally reduce the administra-tion of approximate error. Methods According to the three level of hospital administration approximation error of 181 cases were retrospectively analyzed. Results The following factors were caused drug similar mistakes.Administration of the approximation error incidence decreased year by year during the investigation. Medication errors and errors in the approximation, error dose administered in the proportion accounted for more than 60%. More than 90% administration of the approximation error occurs during the day. The title, length of service and equipment have important effects on reducing drug approximation error, do not comply with the work flow, violating the operating rules, because of inter-ference interrupts the continuity, the lack of communication, carelessness, memory errors, drug similarity, difference signal information system. Conclusion Specification for dug management system, the administration management as a whole,the full implementation of the"Five Rights"management.
