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目的:分析我院门诊药房处方调剂出现差错的原因,针对差错原因分析如何采取预防措施,完善药房的管理规章制度。方法:对我院在2011年3月到2014年3月门诊药房调剂出现差错的病例72例进行原因调查,记录每例差错产生原因并统计分析。结果:门诊药房处方调剂差错原因统计分为四种,其中药师调剂药品是出现差错的主要因素,占总差错例数的66.6%,医生原因占16.7%,患者自身原因占12.5%,其他因素影响占4.2%。结论:规范门诊药房管理制度,加强药师的业务水平,规范处方调剂的每一个程序,才能有效降低调剂错误。
OBJECTIVE: To analyze the causes of errors in prescription dispensation of outpatient pharmacy in our hospital and to analyze how to take preventive measures to improve the management rules and regulations of pharmacy. Methods: 72 cases in our hospital from March 2011 to March 2014 out of error in dispensing pharmacy were investigated for the causes, and the causes of each error were recorded and statistically analyzed. Results: There were four kinds of reasons for the error of prescription dispensing in outpatient pharmacy. Pharmacists adjusted medication was the main factor of error, accounting for 66.6% of the total number of errors, 16.7% for doctors and 12.5% for patients themselves, and other factors Accounting for 4.2%. Conclusion: Regulating outpatient pharmacy management system, strengthening pharmacist’s professional level and standardizing every procedure of prescription adjustment can effectively reduce adjustment errors.