门诊药房处方调剂差错原因分析及防范措施

Causes analysis and preventive measures for accidents of prescription dispensing in outpatient pharmacy

目的总结门诊药房处方调剂差错原因,提出防范措施,提高处方的调剂工作质量。方法回顾性分析我院2006-2010年门诊药房共72例处方调剂差错的种类及发生原因。结果门诊处方调剂差错的种类:药品数量差错为25例,占34.7%;同一药品不同规格、不同剂型差错为14例,占19.5%;用法用量差错为13例,占18.1%;药品名称相似或包装相似而错发的为9例,占12.5%;用药禁忌差错为5例,占6.9%;其他差错为6例,占8.2%。导致发生差错的原因有:药师方面原因49例,占68.1%;医师方面原因13例,占18.1%;患者方面的原因有8例,占11.1%;环境方面的原因有2例,占2.8%。结论加强管理,提高责任心和专业素质,注重工作的每一环节,杜绝门诊药房处方的调剂差错。

Objective To summarize the causes of prescription dispensing accidents in outpatient pharmacy, propose the prescription dispensing,in order to improve the quality of work. Methods The category and causes on 72 cases prescription dispensing in our outpatient pharmacy from 2006 to 2010 were analyzed retrospectively. Results The main category of accidents of prescription dispensing were as follows.25 cases （34. 7% ）in drug quantities accidents; 14 cases （ 19.5 % ） in the same drug in different specifications or different formulations ; 13 cases （ 18. 1% ） in usage and dosage ;9 cases （12. 5 % ）in resemblance of drug names or package ;5 cases （6. 9% ）in drug contraindication; 6 cases（8.2% ）in other accidents. The main causes of accidents of prescription dispensing were as follows：49 cases （ 68. 1% ） caused by pharmacists; 13 cases （ 18. 1% ） caused by physicians ; 8 cases （ 11. 1% ） caused by patients ; 2 cases （2. 8% ）caused by circumstance. Conclusion We should strengthen management,improve sense of responsibility and professional qualities, focus on every details in work, in order to completely eliminate accidents of prescription dispensing in outpatient pharmay.