【摘要】：目的:加強我院藥品調(diào)劑差錯的全面管控,保障患者用藥安全。方法:介紹我院根據(jù)危害分析和關(guān)鍵控制點法(HACCP)實施藥品調(diào)劑差錯風險管理的步驟和相關(guān)內(nèi)容,并通過比較實施前(2015年)、后(2016年)的調(diào)劑差錯率評價管理效果。結(jié)果:我院從建立工作組入手,繪制藥品調(diào)劑流程圖,根據(jù)HACCP原則制訂計劃[包括危害分析,確定關(guān)鍵控制點(CCP),建立關(guān)鍵限值(CL)、監(jiān)測體系、糾偏措施、確認程序和質(zhì)量記錄檔案],確定4個CCP即審核處方、調(diào)配藥品、書寫藥袋或粘貼標簽、向患者交付藥品。針對這些CCP制訂并實施了相應(yīng)的措施,實現(xiàn)了對藥品調(diào)劑的有效管控。與實施HACCP前比較,實施HACCP后我院藥品調(diào)劑差錯率下降84.73%(0.753‰vs.0.115‰)。結(jié)論:將HACCP科學地運用于醫(yī)院藥品調(diào)劑環(huán)節(jié)的管理,可以有效控制藥品差錯風險,促進患者的用藥安全。
[Abstract]:Objective: to strengthen the comprehensive control of drug dispensing errors in our hospital and ensure the safety of drug use. Methods: according to hazard analysis and critical control point method (HACCP), this paper introduces the steps and related contents of error risk management of drug dispensing, and evaluates the management effect by comparing the adjustment error rate before (2015) and after (2016). Results: starting with the establishment of the working group, our hospital drew up the flow chart of drug dispensing, worked out the plan according to the HACCP principle [including hazard analysis, determined the critical control point (CCP),)] to establish the critical limit value (CL),) monitoring system, and corrected the deviation. Confirm the procedure and quality record file], determine 4 CCP that is to review the prescription, mix the medicine, write the medicine bag or affix the label, and deliver the medicine to the patient. In view of these CCP, the corresponding measures are worked out and implemented, and the effective control of drug dispensing is realized. Compared with those before HACCP, the error rate of drug dispensing in our hospital decreased by 84.73% (0.753 鈥，

本文編號：2140639