护士发生给药错误的特点及原因分析

目的分析护士给药错误发生的特点和原因,探讨如何预防给药错误的发生。方法回顾性分析某三级甲等医院2010年至2012年自愿非惩罚报告系统中上报的给药错误137例,分析护士给药错误的类别、特点及原因。结果给药错误主要发生在综合科室占31.39%,外科占24.82%;患者身份识别错误、药物遗漏、给药技术性错误是给药错误的主要类别;发生给药错误的药物种类,占前2位的分别是抗生素和心血管系统用药;在发生给药错误的原因中,操作过程中没有认真执行查对制度占48.91%。结论护理管理者应根据给药错误的特点制订相应的管理措施,加强护士药物知识的培训,严格执行查对制度,降低给药错误的发生。

Characters and reason analysis of medication administration errors of nurses

Objective To explore the preventive strategies of medication administration error by analyzing the characters and reasons of medication administration error of nurses. Methods The types, characters and reasons of 137 medication administration errors were retrospectively analyzed based on the records of the nursing adverse event reporting system in a 3A - level hospital from 2010 to 2012. Results Medication administration errors were occurred mostly in comprehensive department （31.39% ） and surgical department （24.82%）. The main types were wrong patient identification, drug omissions, wrong administration technique and wrong dose. Antibiotics and cardiovascular drugs were the top two drug group. The main cause of errors was non - compliance checking （ 48.91% ）. Conclusion Nursing managers should make corresponding management measures according to the characters of medication administration error, enhance nurses training, strictly follow the check system and reduce the incidence of administration error.