门诊药房调剂外差原因分析及改进措施

Cause Analysis and Improvement Measures of Dispensing Errors in Outpatient Pharmacy

目的 分析我院门诊药房药品调剂外差,提出改进措施,实现调剂零差错。方法 针对我院门诊药房2020 年发生的14 例药品调剂外差进行回顾性分析,并结合门诊药房存在的问题提出对策。结果 :14 例药品调剂外差中,患者身份识别错误5 例,药品数量错误3 例,药品产地、规格错误3 例,药品错发3 例(包装大小相似)。结论药师在药品调剂工作中要有高度的风险意识,严格执行“四查十对”,保持高度的责任心、耐心和细心,尽可能降低门诊药房药品调剂差错,保证患者用药安全。

Objective To analyze the drug dispensing errors in outpatient pharmacy of our hospital and to put forward improvementmeasures to achieve zero dispensing error. Methods Fourteen cases of drug dispensing errors in outpatient pharmacy of our hospitalin 2020 were retrospectively analyzed, and countermeasures were put forward. Results Among the 14 cases of drug dispensingerrors, there were 5 cases of patient identification errors, 3 cases of drug quantity errors, 3 cases of drug origin and specificationerrors, and 3 cases of wrong drugs (because of similar package size). Conclusion Pharmacists should have high awareness ofrisks in drug dispensing, strictly implement the "four review and ten check", maintain strong sense of responsibility, patience andcarefulness, and reduce drug dispensing errors in outpatient pharmacy, so as to ensure the medication safety of patients.