某市麻醉药品使用风险管理评估与控制

Evaluation and Control of Risk Management of Using Narcotic Drugs in a City

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%(1 109/1 300);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。

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 procurement, 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 evaluated. 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.