Application of Hazard Analysis and Critical Control Point Method in Risk Management of Drug Dispensing Errors after Introduction of New Drugs in Outpatient Pharmacy
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Application of Hazard Analysis and Critical Control Point Method in Risk Management of Drug Dispensing Errors after Introduction of New Drugs in Outpatient Pharmacy
ZHANG Cuicui, TANG Yinan, LI Jing, et al. Application of Hazard Analysis and Critical Control Point Method in Risk Management of Drug Dispensing Errors after Introduction of New Drugs in Outpatient Pharmacy. [J]. 20(6):719-722(2020)
ZHANG Cuicui, TANG Yinan, LI Jing, et al. Application of Hazard Analysis and Critical Control Point Method in Risk Management of Drug Dispensing Errors after Introduction of New Drugs in Outpatient Pharmacy. [J]. 20(6):719-722(2020) DOI: 10.14009/j.issn.1672-2124.2020.06.021.
Application of Hazard Analysis and Critical Control Point Method in Risk Management of Drug Dispensing Errors after Introduction of New Drugs in Outpatient Pharmacy
摘要
目的:管控中日友好医院(以下简称"我院")新药引进后潜在的药品调剂差错风险
保障患者用药安全。方法:介绍我院根据危害分7析和关键控制点法(hazard analysis and critical control point
OBJECTIVE:To control the potential risks of drug dispensing errors after introduction of new drugs in our hospital in China-Japan Friendship Hospital(hereinafter referred to as"our hospital")
and to ensure the medication safety of patients.METHODS:The steps and effects for drug dispensing errors implemented after the introduction of new drugs in our hospital based on hazard analysis and critical control point method(HACCP)were introduced.RESULTS:Our hospital started with the establishment of working team
drew out drug flow plot and formulated the plan according to HACCP[including hazard analysis
determination of critical control points(CCP)
establishment of critical limits
monitoring systems
corrective measures
confirmation procedures
and quality record files]
4 CCPs were determined
namely
preparation of medications at the dispensing window
dispensing of medications at the dispensing machine
review of medications dispensed by the back office pharmacists and review of prescriptions
verification and dispensing of medications by the front office pharmacists.Control measures had been developed and implemented for the above CCPs to effectively control the risk of dispensing errors after introduction of new drugs.Compared with before implementation of HACCP
the error rate of drug dispensing in our hospital decreased from 5.29‰to 3.20‰after implementation of HACCP
the difference was statistically significant(χ
2
=179.1
P
<
0.05).CONCLUSIONS:Scientific application of HACCP to the risk management of drug dispensing process after introduction of new drugs in hospitals can effectively control the risk of dispensing errors and ensure the safety medication.
关键词
危害分析和关键控制点法用药安全用药差错风险管理
Keywords
Hazard analysis and critical control pointSafe medicationMedication errorRisk management