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一家公立儿童医院的药品调配错误

Medication dispensing errors at a public pediatric hospital.

作者信息

Costa Lindemberg Assunção, Valli Cleidenete, Alvarenga Angra Pimentel

机构信息

Bahia Federal University Faculty of Pharmacy, Brazil.

出版信息

Rev Lat Am Enfermagem. 2008 Sep-Oct;16(5):812-7. doi: 10.1590/s0104-11692008000500003.

Abstract

OBJECTIVE

assess the safety of medication dispensing processes through the dispensing error rate.

METHOD

Cross-sectional study carried out at a pharmaceutical service of a pediatric hospital in Espírito Santo, Brazil. Data collection was performed between August and September 2006, totaling 2620 prescribed medication doses. Any deviation from the medical prescription in dispensing medication was considered a dispensing error. THE CATEGORIES OF MEDICATION ERRORS WERE: content, labeling, and documentation errors. The dispensing error rate was computed by dividing the number of errors by the total of dispensed doses.

RESULTS

From the 300 identified errors, 262 (87.3 %) were content errors. The rate of errors in the labeling and documentation categories was 33 (11%) and 5 (1.7%), respectively.

CONCLUSION

The total dispensing error rate was higher than rates reported in international studies. The most frequent category was "content error".

摘要

目的

通过配药错误率评估配药过程的安全性。

方法

在巴西圣埃斯皮里图州一家儿童医院的药房进行横断面研究。于2006年8月至9月收集数据,共计2620剂处方药物。配药过程中任何偏离医嘱的情况都被视为配药错误。药物错误类别包括:内容错误、标签错误和记录错误。配药错误率通过错误数量除以配药总剂量来计算。

结果

在识别出的300个错误中,262个(87.3%)是内容错误。标签和记录类别的错误率分别为33个(11%)和5个(1.7%)。

结论

总配药错误率高于国际研究报告的比率。最常见的类别是“内容错误”。

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