HACCP方法在我院药品调剂差错风险管理中的应用

Application of HACCP Method in Risk Management of Drug Dispensing Error in Our Hospital

目的:加强我院药品调剂差错的全面管控,保障患者用药安全。方法:介绍我院根据危害分析和关键控制点法(HACCP)实施药品调剂差错风险管理的步骤和相关内容,并通过比较实施前(2015年)、后(2016年)的调剂差错率评价管理效果。结果:我院从建立工作组入手,绘制药品调剂流程图,根据HACCP原则制订计划[包括危害分析,确定关键控制点(CCP),建立关键限值(CL)、监测体系、纠偏措施、确认程序和质量记录档案],确定4个CCP即审核处方、调配药品、书写药袋或粘贴标签、向患者交付药品。针对这些CCP制订并实施了相应的措施,实现了对药品调剂的有效管控。与实施HACCP前比较,实施HACCP后我院药品调剂差错率下降84.73%(0.753‰vs.0.115‰)。结论:将HACCP科学地运用于医院药品调剂环节的管理,可以有效控制药品差错风险,促进患者的用药安全。

OBJECTIVE：To strengthen the comprehensive control of drug dispensing errors in our hospitals and ensure the medication safety of patients. METHODS：The steps and related contents for drug dispensing errors implemented in our hospital based on hazard analysis and critical control point method（HACCP）were introduced,and the management effects were evaluated by comparing the dispensing error before（2015）and after management（2016）. RESULTS：Starting from establishing groups,our hospital drew flow chart of drug dispensing,and plans [including hazard analysis,determining critical control points（CCP）,establishing critical limits（CL）,monitoring system,correlative measures,confirming process and quality records] were developed based on HACCP principle. And 4 CCPs were identified,naming reviewing prescription,dispensing drugs,writing drug bags or pasting labels and delivering the drugs to patients. Related measures were implemented,which had achieved the effective management and control for drug dispensing. Compared with before implementing HACCP,the drug dispensing error rate in our hospital was declined by 84.73%（0.753‰ vs. 0.115‰）. CONCLUSIONS：Scientifically applying HACCP for drug dispensing in hospital can effectively control the drug error risk and promote the medication safety of patients.