Abstract
Objective To ensure the safety of pharmacy intravenous admixture and to make a reference for the reduction and avoidance of the medication errors.Methods The errors which were made by the nurses of PIVAS during the time from August 2006 to August 2009 were analyzed in accordance with drug package inserts,Chinese Pharmacopeia,and Clinical Medication Information,meanwhile the countermeasures were formulated.Results The internal ratio of errors in the pharmacy intravenous admixture service was 0.005% and the ratio of errors was 0.003%.The errors occurred mainly in the following steps:unpracticed two-step dilution,the missing marks,confusion of drug specifications,missing medicine as well as the wrong orders of total nutrient admixture (TNA).Conclusions The nurses of pharmacy intravenous admixture services(PIVAS)must strengthen the study in pharmaceutical knowledge and drug package inserts,strengthen the education in professional ethics,improve the responsibility,correct the bad behavior in order to make the ratio of erros lowest and ensure the drug safety and effectiveness. Key words: Pharmacy intravenous admixture service; Analysis of errors; Drug safety
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