门诊药房调剂差与错预防

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1、门诊药房调剂差错分析及预防遂宁市中心医院药剂科：唐小婷2015年6月Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.差错只能尽量减少，是不可避免的。CarnahanBJ等报道美国药房的调剂差错率一般为2%-3%（正态分布模型分析）。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfi

2、le5.2.0.0.Copyright2004-2011AsposePtyLtd.调剂差错主要包括：药品品种差错、规格差错、数量差错误发他人药品标签用法书写错误用药指导错误不合理处方未发现发出破损变质药品效期内不能用完的药品未征得病人同意就发与病人等等。Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药师责任心不强能力不足？Evaluationonly

3、.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.门诊药房调剂差错的原因Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.设备的原因打印机故障引起打印字体太淡或模糊不清。收费处重新录入处方出错，后台清单、电脑与处方不符。Evalua

4、tiononly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.环境的原因相似药品放在相近处场地及药架限制，药品摆放过密两边调剂台的药品摆放位置不一致药品在药架上摆放位置发生改变时，药师仍习惯从这个位置取药开放的窗口，环境过于吵闹Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyri

5、ght2004-2011AsposePtyLtd.药品的原因药名相似Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药品的原因同名不同厂家Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药品的原因有效

6、成分相同，剂型不同Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药品的原因包装相似Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药品的原因一品多规Evaluationonly.Createdwit

7、hAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药品的原因包装变化Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药品的原因拆零后药品不易分辨Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5Clien

8、tProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.方法的原因一人同时拿多人的药物一个人的药被多人拿加药错误计算错误Evaluationonly.CreatedwithAspose.Slidesfor.NET3.5ClientProfile5.2.0.0.Copyright2004-2011AsposePtyLtd.药师的原因Evaluationonly.CreatedwithAspose.Slid