摘要
目的探讨SHEL(S-soft:软件部分,H-hard:硬件部分,E-envinnment:临床环境,L-litigant:当事人及他人)模式对门诊药房高危药品管理的有效性,为提高门诊药房高危药品管理提供参考依据。方法实施常规模式管理的门诊药房高危药品作为对照组,实施SHEL模式管理的门诊药房高危药品作为观察组,比较门诊高危药品发药差错事件发生率、发生原因和满意度。结果观察组差错发生率为0.03%,对照组0.18%,观察组因个人素质发生差错占16.67%,低于对照组的62.16%,观察组实施后满意率为98.33%,高于实施前的92.50%,以上比较差异有统计学意义(P<0.05)。结论 SHEL模式降低了门诊药房高危药品发放差错率,人员素质是发药差错的主要原因。
Objective To evaluate the effectiveness of SHEL（Soft Hard Environment Litigant） model on the outpatient pharmacy management of high-risk drugs to provide reference for improving outpatient pharmacy management of high-risk drugs. Methods High-risk drugs in outpatient pharmacy implemented conventional management model as control group, high-risk drugs in outpatient pharmacy implemented SHEL management model as observation group, diagnosis of high-risk drug dispensing errors occurred, the causes and the degree of satisfaction were compared. Results The observation group error rate was 0.03%, 0.18%of the control group, for personal quality errors in observation group accounted for 16.67%, lower than that of the control group 62.16%, satisfaction rate of observation group after implementation（98.33%） was higher than before implementation（92.50%）, with statistical significance difference（P〈0.05）. Conclusion SHEL pattern reduces error rate of high-risk drugs in outpatient pharmacy, the quality of personnel is the main reason for dispensing errors.
出处
《中国实用医药》
2014年第22期257-259,共3页
China Practical Medicine
