门诊西药房处方调剂差错原因分析及防范

Causes Analysis and Preventive Measure for Accidents of Prescription Dispensing in Outpatient Pharmacy

目的：分析门诊西药房处方调剂出现差错的原因,提出整改建议。方法：据美国药品差错报告和预防合作国家委员会（NCCMERP）将处方药品调剂差错分为7个等级,归纳分析我院2012~2013年门诊西药房46例调剂差错的原因。结果：门诊处方药品调剂差错的种类有药名相似、外观相似、位置相近、同一药品不同剂型差错、同一药品不同规格差错、药品数量错误等。药师方面原因42例,占86.9%;医师方面原因4例,占8.69%;其他方面的原因有2例,占4.34%。结论：应加强门诊西药房系统管理,提高专业人员的专业素养,注重工作细节,减少差错。

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 46 cases prescription dispensing in our outpa-tient pharmacy from 2012 to 2013 were analyzed retrospectively.Results：The main category of accident of prescription dispensing were similarity name, appearance similarly, similar location, different forms of the same drug, different specification error of the same drug and the wrong quantity of drugs, and so on.The main causes of accidents of prescription dispensing were as follows：42 cases （86.9%） caused by pharmacists;4 cases （ 8.69%） caused by physicians;2 cases （ 4.34%） caused by other reasons.Conclusion： We should strengthen management,improve sense of responsibility professional qualities and focus on every detail in work to eliminate accidents of prescription dispensing.