| 路德娟 金辉 孙凤云 高维玮 张力娜 谢晨.临床给药错误的原因及预防对策[J].,2016,16(33):6576-6579 |
| 临床给药错误的原因及预防对策 |
| The Causes and Countermeasure of Medication Administration Error |
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| DOI： |
| 中文关键词: 给药管理 给药错误 用药管理 |
| 英文关键词: Medication administration Medication malpractice Clinical drug administration |
| 基金项目:黑龙江省教育厅科学技术研究项目（12531394） |
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| 中文摘要: |
| 目的：对我院发生的临床给药差错事件进行回顾性分析，找出临床给药差错的影响因素，不断提高临床用药安全性。方法：
对我院2013 年3 月-2015 年3 月进行住院治疗的患者进行调查，总结发生临床给药错误的患者资料，对200 起发生在我院的临
床给药错误案例进行回顾性分析。结果：我院发生的200 起临床给药错误案例中，药品错误、剂量错误和遗漏在给药错误中的比
例占74%；且非节假日发生临床给药错误的次数高于节假日；职称、工作年限和系统设备对降低临床给药错误的发生有重要影
响。结论：规范给药管理制度，增加护士值班人数、对护士实行人性化管理，将给药管理视为一个整体，实行全员管理制度可以有
效降低临床给药错误发生率。 |
| 英文摘要: |
| Objective:To find the factors affecting medication administration errors and improve the safety of clinical administration
by retrospective analysis.Methods:Choose patients in our hospital from March 2013-March 2015 as respondents, summarize the patient
data about clinical administration, and then retrospectively analyze the 200 cases of medication administration error occurred in our
hospital.Results:In 200 cases of medication errors, the drug and dose error and drug omission account for 74%; and medication errors
probability frequency were especially high during festival than non-festival. In the end, the grade, work experiences as well as system device
have an important effect on medication errors.Conclusion:Specification for drug management system, increasing the size of the
nurses on duty at noon, implements humanized management for the nurse, taking medicine management as a whole and carrying out the
overall management systemcan effectively reduce the incidence of clinical medication errors. |
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