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条形码技术对医院药房药品调配差错发生率及潜在药品不良事件的影响。

Effect of bar-code technology on the incidence of medication dispensing errors and potential adverse drug events in a hospital pharmacy.

作者信息

Poon Eric G, Cina Jennifer L, Churchill William W, Mitton Patricia, McCrea Michelle L, Featherstone Erica, Keohane Carol A, Rothschild Jeffrey M, Bates David W, Gandhi Tejal K

机构信息

Brigham and Women's Hospital, Boston, MA, USA.

出版信息

AMIA Annu Symp Proc. 2005;2005:1085.

Abstract

We performed a direct observation prepost study to evaluate the impact of barcode technology on medication dispensing errors and potential adverse drug events in the pharmacy of a tertiary-academic medical center. We found that barcode technology significantly reduced the rate of target dispensing errors leaving the pharmacy by 85%, from 0.37% to 0.06%. The rate of potential adverse drug events (ADEs) due to dispensing errors was also significantly reduced by 63%, from 0.19%to 0.069%. In a 735-bed hospital where 6 million doses of medications are dispensed per year, this technology is expected to prevent about 13,000 dispensing errors and 6,000 potential ADEs per year.

摘要

我们进行了一项直接观察的前后对照研究,以评估条形码技术对一家三级学术医疗中心药房的配药错误及潜在药物不良事件的影响。我们发现,条形码技术使药房发出的目标配药错误率显著降低了85%,从0.37%降至0.06%。因配药错误导致的潜在药物不良事件(ADEs)发生率也显著降低了63%,从0.19%降至0.069%。在一家拥有735张床位、每年发放600万剂药物的医院,预计这项技术每年可预防约13000起配药错误和6000起潜在的药物不良事件。

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本文引用的文献

1
How many hospital pharmacy medication dispensing errors go undetected?有多少医院药房的药品调配错误未被发现?
Jt Comm J Qual Patient Saf. 2006 Feb;32(2):73-80. doi: 10.1016/s1553-7250(06)32010-7.

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