我院2159例调剂内部差错帕累托图构成分析

Pareto Chart Analysis of 2159 Dispensing Internal Errors in Our Hospital

目的:了解我院调剂内部差错的情况,为提高药学服务质量提供参考。方法:汇总我院药房调剂差错监测系统中收集的2011年1月-2012年6月上报的2159例调剂内部差错,将数据分类统计,应用帕累托图进行分析。结果:调剂内部差错排序列前2项的依次为数量差错、品种差错,分别占42.20%、37.80%,列为主要问题;第3～5项依次为剂型差错、规格差错、页码差错,列为次要问题。结论:快速找出调剂内部差错的主要、次要问题,提出解决方案;针对主要问题采取措施,可以在短时间内降低调剂内部差错率,提高药师的服务质量。

OBJECTIVE： To investigate the situation of dispensing internal errors and to provide reference for improving the quality of pharmaceutical care in a maternity and child care center. METHODS： 2 159 cases of dispensing errors were collected from pharmacy dispensing error monitoring system of our hospital during Jan. 2011 to Jun. 2012, and then classified statistically and analyzed by using Pareto chart. RESULTS： Top 2 problems were the number error and varieties error, as the main problems, accounting for 42.20% and 37.80%, respectively. The following problems were dosage form errors, specification errors and page error, as the minor problems. CONCLUSIONS： The main problems and the minor problems of dispensing internal errors should be found out quickly to propose the solution correspondingly. Based on the main problems, some measures should be taken to reduce the errors and imorove the aualitv of pharmaceutical care in a short time.