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目的:降低门诊药房处方调配差错率,保障患者安全用药。方法:分析造成门诊药房调配差错的原因,采用品管圈方法拟定对策,评估对策实施的效果。结果:针对药品调配差错多为数量发错和品种发错的原因,制订并实施了电子处方单上增设剂型警示标签和定位码,对工作区域内药架整理进行岗位划分,制作培训手册、对轮转人员等进行岗前培训,重新设计统一药品标识等对策。活动后,调剂差错率由每周0.82%降为0.17%,圈员在学习能力、工作积极性等方面有较大幅度的提高。结论:品管圈活动的开展有效减少了工作中存在的问题,使门诊药房日常的药品调配工作更加准确、快捷和高效,降低了调配差错率。
Objective: To reduce the outpatient pharmacy prescription deployment error rate, to ensure patient safety medication. Methods: To analyze the causes of the outpatient pharmacy deployment error, adopt the method of quality control circle to draw up the countermeasure and evaluate the effect of the countermeasure implementation. Results: In view of the reasons that the quantity of drug mismatch was mostly wrong and the wrong type, a warning label and positioning code were added to the electronic prescription form, and the positions of drug shelf finishing in the working area were divided and the training manual was made. Rotation personnel and other pre-job training, re-design of uniform drug labeling and other measures. After the activity, the adjustment error rate dropped from 0.82% per week to 0.17%. The circle of punctuators made substantial improvements in learning ability and work enthusiasm. Conclusion: The quality control circle activities can effectively reduce the problems in the work, make the daily pharmacy compounding work in the outpatient pharmacy more accurate, quick and efficient, and reduce the deployment error rate.