摘要
目的 通过对某医院静脉配置中心日常工作中出现的差错进行归纳分析,总结经验,制定措施,从而进一步降低差错发生,确保用药安全。方法 统计2021年8月~2022年8月静脉配置中心配置药液215032贴,其中出现差错61贴(0.028%),采用回顾性分析方法对静脉配置中心配置差错原因及岗位进行分析。结果 静脉药液配置过程中出现差错的原因主要有药品调剂错误、溶媒错误、药品数量错误、成品配送错误、加药操作错误,占比分别为9.84%、57.38%、11.48%、1.64%、19.67%。差错发生的岗位主要集中在排药和配置岗位,占比分别为77.05%、19.67%。结论 静脉配置中心需加强药品管理,优化工作流程,加强人员培训,强化规范操作与认识,使配置差错有效减少,确保配置质量和用药安全。
Objective Through the statistical analysis of the errors in the daily work of the vein configuration center of a hospital,the experience is summarized and measures are formulated to further reduce the occurrence of errors and ensure the safety of medication.Methods From August 2021 to August 2022 the vein configuration center configured the liquid medicine was 215032,including 61 errors(0.028%).The causes of configuration errors in the venous distribution center were classified and analyzed by retrospective analysis.Results The main reasons for errors in the configuration of intravenous liquid were drug dispensing error,solvent error,drug quantity error,finished product distribution error and dosing operation error,accounting for 9.84%,57.38%,11.48%,1.64%and 19.67%,respectively.The error occurred mainly in drug dispensing,accounting for 77.05%and 19.67%,respectively.Conclusion The vein configuration center should strengthen drug management,optimize work flow,strengthen personnel training,and strengthen standardized operation and understanding,so as to effectively reduce configuration errors and ensure configuration quality and medication safety.
作者
刘海
LIU Hai(Sun Yat-sen University Cancer Center,State Key Laboratory of Oncology in South China,Collaborative Innovation for Cancer Medicine,Guangzhou 510060,China)
出处
《中国实用医药》
2023年第6期158-160,共3页
China Practical Medicine
关键词
静脉配置中心
差错
统计分析
Vein configuration center
Error
Statistical analysis
