SHEL模式对门诊药房高危药品管理的有效性分析

目的：探讨SHEL（S-soft：软件部分， H-hard：硬件部分， E-envinnment：临床环境， L-litigant：当事人及他人）模式对门诊药房高危药品管理的有效性，为提高门诊药房高危药品管理提供参考依据。方法实施常规模式管理的门诊药房高危药品作为对照组，实施SHEL模式管理的门诊药房高危药品作为观察组，比较门诊高危药品发药差错事件发生率、发生原因和满意度。结果观察组差错发生率为0.03%，对照组0.18%，观察组因个人素质发生差错占16.67%，低于对照组的62.16%，观察组实施后满意率为98.33%，高于实施前的92.50%，以上比较差异有统计学意义（P〈0.05）。结论 SHEL模式降低了门诊药房高危药品发放差错率，人员素质是发药差错的主要原因。

Analysis of the effectiveness of SHEL model in outpatient pharmacy management of high-risk drugs

Objective To evaluate the effectiveness of SHEL（Soft Hard Environment Litigant） model on the outpatient pharmacy management of high-risk drugs to provide reference for improving outpatient pharmacy management of high-risk drugs. Methods High-risk drugs in outpatient pharmacy implemented conventional management model as control group, high-risk drugs in outpatient pharmacy implemented SHEL management model as observation group, diagnosis of high-risk drug dispensing errors occurred, the causes and the degree of satisfaction were compared. Results The observation group error rate was 0.03%, 0.18%of the control group, for personal quality errors in observation group accounted for 16.67%, lower than that of the control group 62.16%, satisfaction rate of observation group after implementation（98.33%） was higher than before implementation（92.50%）, with statistical significance difference（P〈0.05）. Conclusion SHEL pattern reduces error rate of high-risk drugs in outpatient pharmacy, the quality of personnel is the main reason for dispensing errors.