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目的分析数字化管理模式对门诊药品管理发生差错的影响以及发生差错的原因,为今后的临床药品管理工作,提供有价值的参考信息。方法选择2015年1~12月,医院门诊药房实施数字化管理模式后的2 296例次药品发放作为观察组,将2014年1~12月医院门诊药房实施数字化管理模式前的2 114例次药品发放作为对照组,对2组药品管理中的差错事件发生情况、发生原因等进行统计分析,评价数字化管理模式的应用效果。结果药品发放差错事件的发生原因以单人配发、药物摆放、医师疏忽为主;观察组药品发放差错事件发生率为1.09%明显低于对照组的3.78%,差异有统计学意义(χ2=34.404,P<0.05)。结论门诊药房工作过程中,造成药品发放差错事件发生因素相对复杂,多为药师工作量大,工作容易出现疏忽。研究与实践证实,实施数字化管理模式,对于降低药品发放差错事件发生率具有重要意义,临床价值显著,值得关注并推广。
Objective To analyze the impact of digital management on outpatient drug administration errors and the causes of errors, and provide valuable reference information for the future clinical drug administration. Methods From January to December 2015, 2 296 cases of drug release after outpatient pharmacy digital management mode were implemented as observation group, and 2 114 cases of drug release before the outpatient pharmacy implementation from January to December in 2014 were implemented As a control group, statistical analysis was made on the occurrence of the error events in the two groups of drug administrations, the causes thereof, and the like to evaluate the application effect of the digital management mode. Results The causes of errors in drug distribution were single distribution, drug placement and physician negligence. The occurrence rate of error in drug administration in observation group was 1.09%, which was significantly lower than that in control group (χ2 = 34.404, P <0.05). Conclusion Outpatient pharmacies in the process of work, resulting in the distribution of drug errors occurred more complex factors, mostly pharmacists workload, work easy to appear negligent. Research and practice have confirmed that the implementation of digital management mode is of great significance for reducing the incidence of error events in the distribution of drugs and has significant clinical value. It is worthy of attention and promotion.