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1、門診藥房調(diào)劑差錯分析及預(yù)防遂寧市中心醫(yī)院藥劑科:唐小婷2015年6月Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.差錯只能盡量減少,是不可避免的。CarnahanBJ等報道美國藥房的調(diào)劑差錯率一般為2%-3%(正態(tài)分布模型分析)。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfi
2、le5.2.0.0.Copyright2004-2011AsposePtyLtd.調(diào)劑差錯主要包括:藥品品種差錯、規(guī)格差錯、數(shù)量差錯誤發(fā)他人藥品標簽用法書寫錯誤用藥指導(dǎo)錯誤不合理處方未發(fā)現(xiàn)發(fā)出破損變質(zhì)藥品效期內(nèi)不能用完的藥品未征得病人同意就發(fā)與病人等等。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥師責(zé)任心不強能力不足?Evaluationonly
3、.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.門診藥房調(diào)劑差錯的原因Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.設(shè)備的原因打印機故障引起打印字體太淡或模糊不清。收費處重新錄入處方出錯,后臺清單、電腦與處方不符。Evalua
4、tiononly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.環(huán)境的原因相似藥品放在相近處場地及藥架限制,藥品擺放過密兩邊調(diào)劑臺的藥品擺放位置不一致藥品在藥架上擺放位置發(fā)生改變時,藥師仍習(xí)慣從這個位置取藥開放的窗口,環(huán)境過于吵鬧Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyri
5、ght2004-2011AsposePtyLtd.藥品的原因藥名相似Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥品的原因同名不同廠家Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥品的原因有效
6、成分相同,劑型不同Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥品的原因包裝相似Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥品的原因一品多規(guī)Evaluationonly.Createdwit
7、hAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥品的原因包裝變化Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥品的原因拆零后藥品不易分辨Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5Clien
8、tProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.方法的原因一人同時拿多人的藥物一個人的藥被多人拿加藥錯誤計算錯誤Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.藥師的原因Evaluationonly.CreatedwithAspose.Slid