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目的:分析无痛人流手术用药差错的原因,并探讨相应的干预管理对策。方法:金华市妇幼保健院于2013年4月~2014年4月期间开展流产关爱(PAC)服务,进行回顾分析了在此期间无痛人流术过程中的用药情况。结果:金华市妇幼保健院在此期间无痛人流手术总共2264例,用药差错出现106例,其中主要的用药差错事件为米索前列醇直接口服(应舌下含服)和双氯芬酸纳栓置入阴道(应经肛门纳入)。结论:无痛人流术前用药差错事件与医患之间的交流以及护士的整体素质密切相关。
OBJECTIVE: To analyze the causes of errors in painless surgical treatment and to explore the corresponding intervention management strategies. Methods: Maternal and Child Health Care Hospital of Jinhua City carried out abortion care (PAC) service during April 2013 ~ April 2014, and retrospectively analyzed the medication during painless abortion during this period. Results: In Jinhua MCH hospital during this period, a total of 2264 cases of painless surgery, medication errors occurred in 106 cases, the main drug error events were misoprostol direct oral (sublingual) and diclofenac sodium suppositories Vaginal (should be anal included). Conclusion: The painless preoperative medication error events are closely related to the communication between doctors and patients and the overall quality of nurses.