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目的:通过对药物不良事件引发的医疗纠纷的案例分析,提出避免和减少医疗纠纷的措施。方法:通过对3例典型案例进行讨论,分析药物引起的医疗纠纷的原因。结果:3个案例分别存在选择药物不当、药物配伍不当、联合用药不当、选择溶媒不当、药品使用操作不当等。结论:应加强合理用药宣传,提高医生合理用药水平,强化医生严格按照药品说明书使用药品的意识;药师加强理论学习,不断提高专业知识,提高审核处方能力,促进合理用药;做好药品不良反应的预防,对过敏体质患者,用药前详细询问过敏史,用药过程中注意观察不良反应,特别是使用中药注射剂时,严禁中药注射剂与其他药物混合配伍,谨慎联合使用;一旦出现药物不良反应,医务人员态度应诚恳,尽量向患者进行解释,避免矛盾激化,减少不必要的医疗纠纷。
OBJECTIVE: To propose measures to avoid and reduce medical disputes through case analysis of medical disputes triggered by adverse drug events. Methods: Through the discussion of three typical cases, the causes of medical disputes caused by drugs were analyzed. Results: The three cases were improper selection of drugs, improper compatibility of drugs, improper combination of drugs, improper choice of solvents, improper use of drugs and so on. Conclusion: It is necessary to strengthen the rational drug use and publicity to improve the rational use of medicine and strengthen the doctors’ awareness of using drugs in strict accordance with the drug specification. Pharmacists should strengthen theoretical study, improve professional knowledge, improve the ability of examination and prescription, promote the rational use of drugs, and make adverse drug reactions Prevention, allergy patients, ask the history of allergy before medication, pay attention to adverse reactions during the medication, especially when using traditional Chinese medicine injections, non-traditional Chinese medicine injection and other drugs mixed compatibility, cautious combination; in the event of adverse drug reactions, medical staff The attitude should be sincere, try to explain to patients, to avoid conflicts and intensification, reduce unnecessary medical disputes.