Medication errors: a baseline survey of dispensing errors reported in community pharmacies

The results of a baseline survey of medication errors made by community pharmacists are presented The mean error rate in this study was 0.26 % however, there was considerable variation in error rate between pharmacies Almost half of the pharmacists indicated that they had under‐reported errors that had occurred in their pharmacy Of the errors reported, the majority were classified as a nearmiss, and relatively few reached the patient     

Investigation on safety climate for preventing dispensing errors in community pharmacies

We investigated consciousness of the prevention of dispensing errors with the pharmacists and clerical staffs which work in community pharmacies and analyzed the structure of those subconscious to examine preventive measures of dispensing errors. Questionnaire survey was performed for all pharmacists and clerical staffs working in community pharmacies where each is affiliated with four pharmacy groups. The questionnaire consisted of 38 questions about "atmospheres for the prevention of dispensing errors" in the pharmacy along their attributions. And data were analyzed by occupation to confirm the difference. As a result of factor analysis, five factors such as "the posture of the boss", "information exchange", "the order of the pharmacy" were extracted from the pharmacists. Moreover, in the case of the clerical staffs, five similar factors have been extracted besides "a sense of responsibility to duties" replaced "the order of the pharmacy". As a result of structural equation modeling, the pass model with high goodness of fit to which "measures for dispensing error prevention" and "consciousness to the dispensing error of a pharmacy" were assumed to be a subordinate concept respectively by each occupational category. It became clear that a suggestion of the concrete preventive measures drafting was provided even from the investigation of the consciousness level.     

我院住院药房处方调配差错分析与防范

目的 探索减少药房调配差错的具体措施,提高药品调配工作质量。方法 对我院住院药房2009年1月~2011年12月《药品调配差错登记本》记载的差错进行回顾性分析汇总。结果 3年内共发生调配差错101例,其中药物数量差错28例,药物品种差错20例,包装相似差错12例,药物剂量与剂型差错11例,生产厂家差错11例,划价差错6例,退药差错5例,医师处方差错4例,发错科室2例,位置相近取错药2例。结论 我科逐步建立了药材科调剂标准化体系,建立了调配工作各个环节标准操作规程,辅以药师定期的业务培训,交流学习及季度绩效考核激励机制,大大提高了住院药房药师的处方审核能力,有效地预防处方调配差错的发生。     

医院配方室配方差错的统计分析和应对策略

目的；通过对配方差错的分析，以便采取相应管理措施，减少配方差错。方法：将3个配方室的10年配方差错汇总，按部门，年龄和差错类型分别分析。结果：在103次差错中，急诊、住院和门诊配方室的差错率和差错百分率分别为0.00067%,0.0016%,0.0013%及5.8%，41.8%,52.4%。20岁以下、21-30岁、31-40岁、41-50岁和51-60岁年龄段的人均差错数和差错百分率分别为4.0，2.1,2.4,2.7,4.0和19.4%，30.1%，23.3%,15.5%,11.7%。取药品种、数量、理解、复核、剂量剂型和错发病人的差错百分率分别为36.9%，7.8%,12.6%,27.2%,8.7%和6.8%。结论：针对差错，采取有力管理措施，可有效地减少配方差错。     

门诊药房药品调配差错及防范措施的系统性分析

目的 了解国内医院门诊药房调配差错及有效防控措施现状,以期进一步提高药品调配工作质量.方法 检索中文期刊数据库2015—2020年二、三级医院门诊药房调配差错及其采取措施后的质量持续改进的文献,汇总分析改进前后不同差错类型及其数量,原因分析及其改进措施等内容.结果 检索得到的146篇文献中纳入分析的有13篇(三级医院1...