摘要
目的预防分装药品错误的发生,确保患者用药安全。方法运用医疗失效模式与效应分析方法(healthcare failure mode and effect analysis,HFMEA)评估分装和调剂分装药品全流程中的潜在失效模式及失效后果,进而分析整改措施并实施,以预防失效模式的再次发生,将实施前后失效模式RPN值进行配对t检验。结果应用HFMEA模式后,影响分装药品用药错误发生的失效模式RPN值下降60%,P=0.000 2,差异具有统计学意义(P<0.05)。结论 HFMEA模式的运用可以有效预防分装药品错误的发生,解决行业共性问题,提升患者用药安全。
OBJECTIVE To prevent medication errors during drug subpackage and ensure patients′ medication safety.METHODS Healthcare failure mode and effect analysis （HFMEA） was applied to evaluate the potential failure modes and effects during drug repackaging and dispensing. Thereafter rectification measures was analyzed and carried out in order to prevent the recurrence of failure modes. Risk priority numbers （RPNs） before and after the implication of rectification measures were analyzed using paired t tests.RESULTS After the application of healthcare failure mode and effect analysis, RPN was statistically significantly （P〈0.05） reduced by 60% （P=0.000 2）, which affecting the incidences of medication errors during drug unit-dose repackaging.CONCLUSION The application of healthcare failure mode and effect analysis can effectively prevent medication errors during drug subpackage and improve patients′ medication safety.
作者
邱婷婷
张萌萌
孔宪伟
杨毅恒
QIU Ting-ting;ZHANG Meng-meng;KONG Xian-wei;YANG Yi-heng(Department of Pharmacy, Peking University Third Hospital, Beijing 100191, China)
出处
《中国药学杂志》
CAS
CSCD
北大核心
2018年第13期1137-1139,共3页
Chinese Pharmaceutical Journal
关键词
分装药品
医疗失效模式与效应分析
安全用药
drug subpackage
healthcare failure mode and effect analysis
safe medication
作者简介
邱婷婷，女，主管药师，本科研究方向：医院药事管理;通讯作者：杨毅恒，女，硕士，主任药师研究方向：医院药事管理Tel：13661350431 E—mail：13661350431@qq．com
