中国执业药师
中國執業藥師
중국집업약사
CHINA LICENSED PHARMACIST
2015年
2期
13-17
,共5页
麻醉药品%风险管理%基层医疗机构
痳醉藥品%風險管理%基層醫療機構
마취약품%풍험관리%기층의료궤구
Narcotic Drug%Risk Management%Grassroots Medical Institutions
目的：识别麻醉药品使用过程的风险，并对风险进行评估和控制，促进麻醉药品的安全使用。方法：对某市使用麻醉药品的13家医院每院抽查麻醉药品处方100张，调查麻醉药品采购、贮藏保管、处方开具与调剂、患者使用等环节的现状，评价处方的规范性和用药合理性。结果：药剂人员（75.56%）和医师（68.00%）对麻醉药品知识的掌握程度高于护理人员（41.67%）、行管人员（37.14%）和保卫人员（29.41%）；处方合格率为85.31%（1109/1300）；麻醉药品使用环节的风险包括验收制度未落实，账册管理不严格，基数管理不到位，没有设立专门的发药窗口，处方开具不规范，报警设施不齐全，没有落实麻醉药品使用残余量回收制度和使用后空安瓿、废贴回收、销毁制度。结论：加强人员的培训，严格执行麻醉药品管理制度，强化安全措施，防范风险于未然很有必要。
目的：識彆痳醉藥品使用過程的風險，併對風險進行評估和控製，促進痳醉藥品的安全使用。方法：對某市使用痳醉藥品的13傢醫院每院抽查痳醉藥品處方100張，調查痳醉藥品採購、貯藏保管、處方開具與調劑、患者使用等環節的現狀，評價處方的規範性和用藥閤理性。結果：藥劑人員（75.56%）和醫師（68.00%）對痳醉藥品知識的掌握程度高于護理人員（41.67%）、行管人員（37.14%）和保衛人員（29.41%）；處方閤格率為85.31%（1109/1300）；痳醉藥品使用環節的風險包括驗收製度未落實，賬冊管理不嚴格，基數管理不到位，沒有設立專門的髮藥窗口，處方開具不規範，報警設施不齊全，沒有落實痳醉藥品使用殘餘量迴收製度和使用後空安瓿、廢貼迴收、銷燬製度。結論：加彊人員的培訓，嚴格執行痳醉藥品管理製度，彊化安全措施，防範風險于未然很有必要。
목적：식별마취약품사용과정적풍험，병대풍험진행평고화공제，촉진마취약품적안전사용。방법：대모시사용마취약품적13가의원매원추사마취약품처방100장，조사마취약품채구、저장보관、처방개구여조제、환자사용등배절적현상，평개처방적규범성화용약합이성。결과：약제인원（75.56%）화의사（68.00%）대마취약품지식적장악정도고우호리인원（41.67%）、행관인원（37.14%）화보위인원（29.41%）；처방합격솔위85.31%（1109/1300）；마취약품사용배절적풍험포괄험수제도미락실，장책관리불엄격，기수관리불도위，몰유설립전문적발약창구，처방개구불규범，보경설시불제전，몰유락실마취약품사용잔여량회수제도화사용후공안부、폐첩회수、소훼제도。결론：가강인원적배훈，엄격집행마취약품관리제도，강화안전조시，방범풍험우미연흔유필요。
Objective:To identify the risk in the course of using narcotic drugs and evaluate and control the risks so as to promote the safe use of narcotic drugs . Methods: 100 prescriptions of narcotic drugs were sampled for checking from each hospital of the 13 hospitals of the city which using narcotic drugs , investigating the pro-curement , storage and safekeeping of narcotic drugs and the prescription and adjustment of narcotic drugs and the drug use in patients were also inquired into . The normalization of prescriptions and rational medication were evalu-ated . Results:Pharmacist ( 75 . 56%) and physician ( 68 . 00%) mastered the knowledge of narcotic drugs better than nurses (41.67%), managers (37.14%) and security personnel (29.41%). 85.31% (1 109/1 300) of the sampled prescriptions was qualified . Risks existed in the application of narcotic drugs such as without implementation of ac-ceptance system , no strict management of account books , inadequate basic number management , without specified dispensing window , not standardized prescriptions , insufficient alarm facilities , without implementation of recovery system of residual narcotic drugs in application and the destruction system of used empty bottles and recycling waste stickers . Conclusion:It is necessary to enhance the personnel training , strictly follow the management system of narcotic drugs and strengthen the security measures so as to guard against the risk in the bud .
