西药房高危药品管理与用药安全相关思考

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英文篇名：Thoughts on the Management of High-risk Drugs in Western Pharmacies and Drug Safety 作者：李秀梅 英文作者：LI Xiu-mei;Maternal and Child Health Family Planning Service Center of Gaochang District; 关键词：西药房 ; 高危药品管理 ; 用药安全 ; 综合管理 ; 有效对策 英文关键词：Western pharmacy;;High-risk drug management;;Medication safety;;Comprehensive management;;Effective countermeasures 中文刊名：WMIA 英文刊名：World Latest Medicine Information 机构：新疆吐鲁番市高昌区妇幼保健计划生育服务中心; 出版日期：2019-05-10 出版单位：世界最新医学信息文摘 年：2019 期：v.19 语种：中文; 页：WMIA201938009 页数：2 CN：38 ISSN：11-9234/R 分类号：24-25

摘要

目的思考分析西药房高危药品管理与用药安全相关的内容和方法。方法应用回顾性分析的方法对医院西药房2017年5月至2018年5月出现的40起高危药品管理不当事件和用药不当事件等进行综合研究,根据风险性事件产生的原因,制定出积极有效的管理措施,规划西药房高危药品管理和安全用药管理的有效对策和方法。结果医院西药房高危药品管理不当事件调查中共出现40起风险性事件,其中占比最大的是高危药品存放不当类事件,共有14起,总占比35.0%;其次是药品管理制度不完善类事件,共有13起,总占比32.5%;然后是药品标识内容不完整类事件,共有11起,总占比27.5%;最后还有其他类型的不良事件,共有2起,总占比5.0%。事件类型不同、事件诱因也不同,因而需要针对性地研究和制定相关问题的解决对策。结论西药房高危药品管理问题以及用药安全不当问题产生的原因较为复杂,要结合临床实践情况研究解决方案,在药品安全管理中,全面有效地提高医院高危药品管理的综合水平和用药安全性。
        Objective To consider and analyze the content and methods of high-risk drug management and drug safety in western pharmacies. Methods Retrospective analysis method was applied to the hospital pharmacy in May 2017 to May 2018 in 40 cases of the high-risk drug mismanagement and inappropriate events such as a comprehensive study, according to the reasons of the risk event,to develop a positive and effective management measures, planning pharmacy high-risk drug management and security management of effective countermeasures and methods. Results A total of 40 risk events occurred in the investigation of improper management of high-risk drugs in hospital west pharmacy, among which the largest proportion was the improper storage of high-risk drugs, with a total of 14 incidents, accounting for 35.0% of the total. Secondly, there were 13 cases of imperfect drug management system,accounting for 32.5%. Then there were 11 cases of incomplete drug labeling, accounting for 27.5%. Finally, there were two other types of adverse events, accounting for 5.0%. Different event types and events cause different events, so it is necessary to study and formulate relevant countermeasures. Conclusion The causes of the problems in the management of high-risk drugs in western pharmacies and the improper use of drugs are relatively complex. It is necessary to study solutions in combination with clinical practice, so as to comprehensively and effectively improve the comprehensive level of hospital high-risk drugs management and drug safety in drug safety management.

引文

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