降低某三甲医院门诊西药房调剂踪近差错率的研究

Study of reducing the trace recent of error rate in the outpatient pharmacy of a top three hospital

目的按照国际医疗卫生机构认证联合委员会(JCI)要求,降低踪近差错的发生率可减少患者用药错误,提高药房工作效率和药学服务水平。方法采用品管圈计划(Plan)、执行(Do)、检查(Check/Study)、处理(Act)循环的形式,对新疆医科大学第一附属医院(以下简称'我院')门诊西药房2015年1~12月踪近差错率跟踪,其原因通过分析为看似听似(LASA)、一品双规、发药量大粗心、货位接近,制订干预措施并确认改进效果。结果通过一系列的干预措施,我院门诊西药房调剂踪近差错率已降至目标值以下(≤0.1%),经确认为有效干预。结论踪近差错是导致患者用药安全的潜在隐患,通过品管圈持续不断的质量改进能有效降低踪近差错的发生,保证患者用药的安全性。

Objective To reduce the incidence of medication errors and indirectly improve the quality of patient medication safety in accordance with JCI requirements by reducing the tracking error rate. Methods In the form of quality control circle(Plan, Do, Check, Act) for Department of Pharmacy, the First Affiliated Hospital of Xinjiang Medical University('our hospital' for short) from January 2015 to December 2015 trace nearly error rate tracking. By analyzing the reasons for the LASA, dispensing large careless, a product designations, cargo space close to intervention measures and confirm the improvement effects. Results Through a series of interventions, our hospital outpatient pharmacy dispensing error rate dropped nearly track the target value(≤0.1%), recognized as an effective intervention. Conclusion Tracking error is a potential risk of lead in recent drug safety of patients, QCC continuous quality improvement can effectively reduce tracking errors occurred near ensure the security of patient medication.