中国药物警戒 ›› 2011, Vol. 8 ›› Issue (11): 670-671.

• 管理及工作研究 • 上一篇    下一篇

我院静脉用药调配中心差错分析及防范

邓雪娥   

  1. 首都医科大学附属北京友谊医院药剂科,北京 100050
  • 收稿日期:2011-05-20 出版日期:2011-11-10 发布日期:2015-07-30
  • 作者简介:邓雪娥,女,副主任药师,临床药学。

Analysis of Errors in Pharmacy Intravenous Admixture Service of Our Hospital and Preventive Measures

DENG Xue-e   

  1. Department of pharmacy, Beijing Friendship Hospital Affiliated to Capital Medical University, 100050
  • Received:2011-05-20 Online:2011-11-10 Published:2015-07-30

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摘要： 本文收集了北京友谊医院静脉用药调配中心2011年1至6月期间出现的各类差错,并对此进行分析,其中内差错发生率为1.44‰,出门差错发生率为0.105‰,主要发生在调剂、配置和成品输液核对等多个环节,针对这些问题提出了具体防范措施,以减少PIVAS差错,保障患者用药安全。

关键词: 静脉用药调配中心, 差错分析, 防范措施

Abstract: The article collected various errors in PIVAS of Beijing Friendship Hospital from January 2011 to June 2011, and analyzed the occurrence of the errors according to drug package inserts, Chinese Pharmacopoeia, Clinical Medication Information, Pharmaceutical incompatibility in intravenous infusion and clinical drug consulting system. The external ratio of errors in PIVAS was 0.105‰, and the internal ratio of errors was 1.44‰. The errors occurred mainly were errors of making up prescriptions, dispensing errors and errors of checking finished products. Meanwhile, PIVAS adopted the targeted preventive measures according to the reasons and to cut down the mistakes in order to guarantee safe drug of patients.

Key words: pharmacy intravenous admixture service, analysis of errors, preventive measures

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