治理用药差错的非惩罚性策略探讨

目的：探讨治理用药差错的非惩罚性策略,促进患者用药安全。方法：对用药差错的传统处理方法和弊端进行分析,介绍非惩罚性策略涉及的用药安全文化的内容及相关措施。结果：用药安全文化表现为建立无惩罚的差错分享文化、出现用药差错时重点是分析事由而不是惩罚等,促使医务人员能够自愿、主动、积极、真实地报告用药差错及非差错性事件,最大限度保护患者的用药安全;非惩罚性策略的措施即倡导建立完善、有效的用药差错报告系统。

Exploration of Non-punitive Strategies for Medication Error Administration

OBJECTIVE：To explore non-punitive strategies of administering medication error,and to promote safety of drug use in patients.METHODS：The traditional handling method and malpractice of medication error were analyzed,and the content of medication safety culture and countermeasures were introduced.RESULTS CONCLUSIONS：Medication safety culture included the establishment of non-punitive share culture,and analysis of reasons for medication error but no punishment,etc.Medical personnel could report medication error and non-error event with voluntary,active,positive and true attitude;the protection of patients medication safety was maximized.A sound and effective medication error reporting system is the countermeasure of non-punitive strategies of administering medication error.