Abstract
目的：减少静脉用药调配中心差错的发生，保障临床安全合理用药。方法：总结我院静脉用药调配中心近一年中登记的各类差错，进行归纳分析，并提出防范措施。结果：实施整改措施后，差错数量由402例减少到7例，差错率由0.0735%降到0.0013%，有效地降低了静脉用药调配中心内部差错和出门差错的发生率。结论：通过差错分析并实施相应的防范措施，可有效降低PIVAS差错率，保障临床用药安全有效。 Objective: To reduce the occurrence of errors in the dispensing Pharmacy Intravenous Admixture Services (PIVAS) and ensure the safe and rational use of drugs. Methods: To summarize all kinds of errors registered in the PIVAS in our hospital for nearly one year, and to carry out induction anal-ysis and put forward preventive measures. Results: The number of errors decreased from 402 cases to 7 cases, and the error rate decreased from 0.0735% to 0.0013% after the implementation of the corrective measures, which effectively reduced the incidence of internal errors and external errors in the PIVAS. Conclusions: The error analysis and the implementation of appropriate preventive measures can effectively reduce the PIVAS error rate to ensure safe and effective clinical use of drugs.
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