关注用药错误保障患者安全

Pay attention to medication errors and ensure patient safety

用药安全与患者安全息息相关。用药错误是造成患者伤害的常见原因之一。用药错误可发生于处方(医嘱)开具与传递,药品储存、调剂与分发,药品使用与监测,以及用药指导、药品管理和信息技术等多个环节。医师、药师、护士和患者都有可能是引发错误的责任人,防范用药错误需要人人参与。用药错误的防范除要解决管理中的技术性问题外,还需要倡导非惩罚性用药安全文化,鼓励临床医师、药师和护士主动参与用药错误的监测与报告。我国在用药安全方面还需要做更多的努力。

Medication safety is closely related to patient safety. Medication error (ME) is one of the common reasons of patient injury. ME can occur in the links of prescription (medical order) writing and delivery, the storage, dispensing, and distribution of drugs, drug administration and monitoring, medication guidance, drug management, information technology, and etc. Physicians, pharmacists, nurses, and patients are all the possible responsible persons for ME. Everybody should participate in the prevention of ME. In addition to solving the technical problems in management, it is also necessary to advocate a non-punitive medication safety culture and encourage physicians, pharmacists, and nurses to actively participate in the monitoring and reporting of ME. More efforts need to be done on the medication safety in China.