CAJ | 학술논문

目的：提升药师的自我管理意识，降低门诊药房调配差错次数，保证患者用药安全。方法利用SHEL模式（即S-soft，软件部分，医务人员的业务素质和能力；H-hard，硬件部分，硬件条件；E-environment，临床环境；L-litigant，当事人及他人），分析2012年6月至2013年6月门诊药房发生的差错情况及差错发生原因，提出相关改进措施。结果与结论差错产生的因素主要有工作人员本身的业务素质缺失、相关制度的不完善、硬件设备落后以及药品管理混乱等。SHEL模式的应用，有助于提高门诊药房的安全管理质量，消除调配的安全隐患，降低药患纠纷事件的发生率，更好地为患者提供优质的服务。
목적：제승약사적자아관리의식，강저문진약방조배차착차수，보증환자용약안전。방법이용SHEL모식（즉S-soft，연건부분，의무인원적업무소질화능력；H-hard，경건부분，경건조건；E-environment，림상배경；L-litigant，당사인급타인），분석2012년6월지2013년6월문진약방발생적차착정황급차착발생원인，제출상관개진조시。결과여결론차착산생적인소주요유공작인원본신적업무소질결실、상관제도적불완선、경건설비락후이급약품관리혼란등。SHEL모식적응용，유조우제고문진약방적안전관리질량，소제조배적안전은환，강저약환규분사건적발생솔，경호지위환자제공우질적복무。
Objective To enhance the pharmacist self-management consciousness,to reduce the number of outpatient pharmacy dispens-ing errors and to ensure the medication safety of patients. Methods The SHEL mode,i. e. ,software(S):professional quality and ability of medical staff;hardware(H):hardware conditions;environment(E):clinical environment;litigant(L):parties and the others,was adopted to analyze the error situation and the error occurrence causes in the outpatient pharmacy from June 2012 to June 2013. The relevant im-provement measures were put forward. Results and Conclusion The main factors causing error are the staff themselves business defi-ciency,the imperfect relevant system,backward hardware equipment and chaotic drug management. The application of the SHEL model is helpful to improve the quality of outpatient pharmacy safety management,eliminate the potential safety hazard of drug dispensing and re-duce the occurrence rare of the dispute events between pharmacists and patients in order to serve the patients better.