口服药发放模式的调查分析及对策

通过对药师、护士及患者发放调查问卷表了解临床发错药的原因.药房的调剂模式为有人调剂,无人核对,100%药房受访人员在工作中有发错药的情况,药房调剂错误率为5%.80.3%的护士在核对药物时只是核对药物数量,无法凭药物的外形确认药品,62%发药错误为药房发错药物护士没有核对出来造成.本文分析现有发药模式错误原因,提出改进对策,更好地保证患者用药安全.

Rescarch of the mode of oral medicine distribution

Objective To explore new mode of oral medicine distribution. Methods Questionnaires were used to pharmalist nurses and patients. Results The mode of setting the medicine in centre pharmacy was one person and no one checking. Misplacing medicines had been happened by 100% participants in centre pharma-cy. The rate of misplacing medicines in pharmacy was 9%. Without the original package, 100% pharmacists cant recognize the medicine with similar appearance, color and shape. The error rate was 0. 67% after the main nurse checked the medicine, 80. 3%. nurses can only cheek the quantity of the medicine and cant recognize them ac-cording their appearance. In case of no patients mistaken, 62% error was caused by misplacing medicine of the pharmacy and the nurses didn't find out. The average time daily taken by the nurse to cheek the medicine was 100. 85 minutes. The satisfoutory degree of the patients to the nurse's drug nursing was 63. 4%. Only 13% patients indicated that detailed medicine knowledge had been told by the nurse and brief introduction had been taken in 31% patients. Conclusions Change the existing medicine distribution mode, to establish new oral medicine dis-tribution mode and the safety of taking medicine.