Analysis and Countermeasures of Medication Errors and Borderline Error Events in Our Hospital

Han Long; Yan Meixing; Qu Suxin

doi:10.13407/j.cnki.jpp.1672-108X.2020.02.014

您当前的位置：

首页 >

文章列表页 >

Analysis and Countermeasures of Medication Errors and Borderline Error Events in Our Hospital

更新时间：2022-11-03

- Analysis and Countermeasures of Medication Errors and Borderline Error Events in Our Hospital
- Vol. 26, Issue 2, Pages: 45-47(2020)
- 作者机构：
  
  青岛市妇女儿童医院,山东,青岛,266000
- 作者简介：
- 基金信息：
- DOI：10.13407/j.cnki.jpp.1672-108X.2020.02.014
  CLC：
- Published：2020，
  
  Published Online：10 February 2020，
扫描看全文
Han Long, Yan Meixing, Qu Suxin. Analysis and Countermeasures of Medication Errors and Borderline Error Events in Our Hospital. [J]. 26(2):45-47(2020)
DOI：

Han Long, Yan Meixing, Qu Suxin. Analysis and Countermeasures of Medication Errors and Borderline Error Events in Our Hospital. [J]. 26(2):45-47(2020) DOI： 10.13407/j.cnki.jpp.1672-108X.2020.02.014.

摘要

目的：探讨用药差错与临界差错事件发生的原因及对策，为减少医院的用药错误提供依据。方法：基于我院2017年1月至2018年9月不良事件信息平台上报的277例用药差错与临界差错事件的数据汇总，从差错环节、差错类别及差错人三个方面进行数据分析，提出改进措施、减少用药差错。结果：针对导致差错的原因优化系统管理、加强培训、进行PDCA质量改进，持续改进固化流程，修改制度与流程。结论：通过用药差错与临界差错的原因分析及质量改进，有效防范用药差错事件的发生，最大限度减少用药差错，促进临床合理用药，确保患者安全用药。

Abstract

Objective: To explore the causes and countermeasures of medication errors and borderline error events

so as to provide evidence for reducing medication errors in our hospital. Methods: Based on the data of 277 cases of medication errors and borderline error events reported on the Adverse Events Information Platform of our hospital from Jan. 2017 to Sept. 2018

analysis was carried out from three aspects such as error link

error category and error person

and improvement measures were put forward to reduce medication errors. Results: According to the causes of errors

the system management was optimized

training was strengthen and PDCA quality was improved with the continuously improvement of solidification process and modification of systems and processes. Conclusion: Analysis of the causes of medication errors

borderline error events and quality improvement can an effectively prevent the occurrence of medication errors

minimize medication errors

promote rational clinical medication

and ensure the safe medication for patients.

关键词

用药差错临界差错原因分析质量改进

Keywords

medication errorsborderline errorscauses analysisquality improvement

references

查看原文

Views

下载量

CSCD

Alert me when the article has been cited

提交

Tools

Publicity Resources

Effect of Quality Improvement on the Utilization Rate of Antibacteria Drug in Premature Infants Suspectedof Early-onset Sepsis

Related Author

Yang Meng

Yang Shujie

Gan Bin

Yi Haiying

Zhang Ping

Li Lei

Related Institution

Xiaogan Hospital, Wuhan University ofScience and Technology, Hubei Xiaogan

School of Medicine, Wuhan University of Science and Technology, Wuhan

⁰