静脉用药调配中心差错量化分析与风险防范研究

Quantitative Analysis and Risk Prevention of Errors in Pharmacy Intravenous Admixture Services

目的分析静脉用药调配中心(PIVAS)产生差错的原因,探讨减少差错的措施,改善临床用药安全。方法统计2023年1月—12月PIVAS差错本中登记的差错例数,按照差错内容、差错发生的原因进行汇总分析,并提出相应的防范措施。结果在统计的时间内,PIVAS共发生差错46起,科内产生的差错占比较大,共44例,其中摆药发生的差错有18例,占比39.13%,扫描发生的差错有13例,占比28.26%。结论进一步制定、完善相关规章制度,加强药品管理和人员培训,降低PIVAS的差错发生,保障患者用药安全。

Objective To analyze the causes of errors in pharmacy intravenous admixture services(PIVAS),explore the measures to reduce the errors and improve the safety of clinical medication.Methods The number of error cases registered in PIVAS error book from January to December 2023 was counted,summarized and analyzed according to the error content and causes,and the corresponding preventive measures were put forward.Results A total of 46 errors occurred in PIVAS during the statistical period,and the errors occurred in the department accounted for a large proportion of 44 cases,including 18 cases of errors in drug positioning,accounting for 39.13%,and 13 cases of errors in scanning,accounting for 28.26%.Conclusion Relevant rules and regulations should be further formulated and improved,drug management and personnel training should be strengthened to reduce PIVAS errors and ensure patient medication safety.