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目的:降低医院药房单人调剂风险,提高急诊药房药学服务质量。方法:分析我院急诊药房单人调剂处方风险的环境因素、人为因素、社会因素,提出改进建议和措施,建立风险干预机制,并评价管理效果。结果:通过改进药房软硬件、落实相关制度、加强培训学习、改进调剂流程、改善窗口秩序、加强药品管理、实施踪近错误管理等措施后,与管理前(2014年10-12月)比较,管理后(2015年2-4月)踪近错误、纠纷次数显著降低(P<0.05),给药错误降低为0。结论:单人调剂处方时通过加强风险管理、提高药师处方审核能力,可提高急诊药房调剂药学服务。
Objective: To reduce the risk of single pharmacy dispensary in hospitals and improve the quality of pharmacy services in emergency pharmacies. Methods: To analyze the environmental factors, human factors and social factors of prescription risk of emergency pharmacy in our hospital, put forward suggestions and measures for improvement, establish risk intervention mechanism and evaluate the management effect. Results: Compared with the pre-management (October-December 2014), the improvement of pharmacy hardware and software, implementation of the relevant system, strengthening of training and learning, improvement of the adjustment procedure, improvement of the window order, strengthening of drug management and implementation of tracking error management, After the management (February-April 2015), the number of tracing cases was nearly wrong, the number of disputes was significantly reduced (P <0.05), and the dosage error was reduced to zero. Conclusion: When single prescriptions are administered, risk management can be enhanced to improve pharmacist prescription examination ability, which can improve pharmacy service of emergency pharmacy.