12226张门、急诊处方中错误分析

Analysis on errors of 12226 prescription of out-patient and acute

目的:了解处方中与《处方管理办法(试行)》不符而存在的错误分布情况,提醒医生改变不良书写习惯,提示药师加强对处方的审核。方法:依据《处方管理办法(试行)》对2005年12月的12226张归档处方逐项进行检查,对每张处方中出现的错误进行分类记录和统计分析。结果:处方正文错误占全部错误的77.9%,缺少结束符号、药品品种超过5种、医生涂改后未签字、药师涂改处方分别占处方错误的32.5%、11.4%、11.1%和8.4%。结论:继续加强《处方管理办法(试行)》的宣传、学习和执行,规范处方书写,减少那些原来可以避免的药物治疗差错和药源性损害,让病人得到安全、有效的治疗,降低医疗纠纷的发生率。

Objective:To investigate the distribution of the errors of 12226 prescriptions.Metheds:The errors were interpreted according to Prescription Administrative Policy(on trial)and statistical analysis in different groups.Results:Of 4185 errors,contain errors were accounted for 77.9%.Losing end-mark?Drug number over 5?Losing sign name and date after modification were common errors.Conclusion:Doctor should changed bad write-prescription-habit,Pharmacist should strengthened examine and verification of prescription.It is important for decrease adverse drug reaction and decrease drug induced disease.