临床给药错误的原因及预防对策

目的:对我院发生的临床给药差错事件进行回顾性分析,找出临床给药差错的影响因素,不断提高临床用药安全性。方法:对我院2013年3月-2015年3月进行住院治疗的患者进行调查,总结发生临床给药错误的患者资料,对200起发生在我院的临床给药错误案例进行回顾性分析。结果:我院发生的200起临床给药错误案例中,药品错误、剂量错误和遗漏在给药错误中的比例占74%;且非节假日发生临床给药错误的次数高于节假日;职称、工作年限和系统设备对降低临床给药错误的发生有重要影响。结论:规范给药管理制度,增加护士值班人数、对护士实行人性化管理,将给药管理视为一个整体,实行全员管理制度可以有效降低临床给药错误发生率。

The Causes and Countermeasure of Medication Administration Error

Objective:To find the factors affecting medication administration errors and improve the safety of clinical administrationby retrospective analysis.Methods:Choose patients in our hospital from March 2013-March 2015 as respondents, summarize the patientdata about clinical administration, and then retrospectively analyze the 200 cases of medication administration error occurred in ourhospital.Results:In 200 cases of medication errors, the drug and dose error and drug omission account for 74%; and medication errorsprobability frequency were especially high during festival than non-festival. In the end, the grade, work experiences as well as system devicehave an important effect on medication errors.Conclusion:Specification for drug management system, increasing the size of thenurses on duty at noon, implements humanized management for the nurse, taking medicine management as a whole and carrying out theoverall management systemcan effectively reduce the incidence of clinical medication errors.