159例门诊处方用药错误分析及其防控措施探讨

Analysis of Medication Errors in 159 Cases of Outpatient Prescriptions and the Prevention and Control Measures

目的了解门诊处方用药错误情况,保障门诊患者用药安全、有效。方法随机抽取2014年至2015年门诊处方36 000张,对其进行点评,寻找存在用药错误的处方,并对用药错误进行分类和分析,评价用药错误是否为跨科开药。结果共发现用药错误处方141张,占0.39%;涉及患者159例,其中,给药频次错误、单次给药剂量错误、疗程错误、无适应证或超适应证用药是最常见的处方用药错误类型,分别占32.08%,25.79%,15.09%和8.18%;159例患者中,跨科开药47例,占29.56%;跨科开药导致的处方用药错误中,给药频次错误、单次给药剂量错误、疗程错误、药物品种错误是最常见的类型。结论通过制订和完善相应的规章制度,利用医院信息系统规范跨科开药行为,对医师开展药物知识培训,规范开具中成药处方等防控措施,可规范和减少跨科开药,减少处方用药错误。

Objective To learn the situation of outpatient prescription medication errors caused by cross section prescribing, and to ensure the safety and effectiveness of drug use for outpatients. Methods 36,000 outpatient prescriptions from 2014 to 2015 were randomly selected; all sample of prescriptions were commented, and the prescription medication errors were found ;the medication errors were evaluated to see whether they were cross disciplinary drugs. Results Through prescription reviews,a total of 141 prescriptions were found to exist medication errors,accounting for 0. 39%. There were 159 cases of prescription medication errors;the most common types of prescription medication errors were medication frequency error,single dose error,course of treatment error,no indication or super indication medication,which accounted for 32. 08% ,25.79% ,15.09% and 8.18% ,respectively. Among the 159 cases of prescribed medication errors,47 cases were cross section, accounted for 29.56%.In the prescription medication errors caused by cross disciplinary medicine ,the frequency of drug administration errors, a single dose of medication errors, a course of treatment errors, errors in the variety of drugs were the most common types. Conclusions By formulating and perfecting the corresponding rules and regulations, the standard of hospital information system, carrying out cross disciplinary prescription drug knowledge training, standard issue of Chinese medicine prescription and other measures to reduce and standardize physician can prescribe interdisciplinary phenomenon, and can reduce medication errors.