Balkrishnan Rajesh, Foss Clare E, Pawaskar Manjiri, Uhas Adam A, Feldman Steven R
Department of Dermatology, Center for Dermatology Research, Wake Forest University School of Medicine, Winston-Salem, North Carolina 27157-1071, USA.
J Dermatolog Treat. 2009;20(4):229-32. doi: 10.1080/09546630802607487.
Vigilant reporting of medication errors and adverse drug events (ADEs) is needed to understand and reduce the extent of this problem in dermatology. Various systems are already in place in inpatient settings.
To review existing medication error reporting systems related to outpatient settings with emphasis on topical medications associated with dermatological diseases.
Search terms 'medication error', 'outpatient settings', 'barriers', 'medication use process', 'CPOE' (computerized prescriber order entry), 'dermatological conditions' and 'skin disorders' were used.
The rate of medication-related incidents range as high as 4.49 per 1000 to 24.1 per 1000 inpatient days. The most common error type was patient error, accounting for 56% of errors. Other errors that occurred were prescription errors (13%), delivery errors (13%), availability errors (10%), and reporting errors (8%). CPOE systems can increase medication safety, while introducing other problems including faulty computer interface, miscommunication with other systems, lack of adequate decision support, and other human errors (knowledge deficit, distractions, inexperience, and typing errors).
There is an opportunity for improved tracking and reporting of medication errors in dermatology. Systems are needed to ensure that patients understand how their medication should be used.
需要对用药错误和药物不良事件（ADEs）进行及时报告，以了解并减少皮肤科领域这一问题的严重程度。住院环境中已经存在各种系统。
回顾与门诊环境相关的现有用药错误报告系统，重点关注与皮肤病相关的外用药物。
使用搜索词“用药错误”“门诊环境”“障碍”“用药过程”“计算机化医嘱录入（CPOE）”“皮肤病”和“皮肤疾病”。
用药相关事件的发生率高达每1000住院日4.49起至24.1起。最常见的错误类型是患者错误，占错误的56%。其他发生的错误包括处方错误（13%）、给药错误（13%）、可及性错误（10%）和报告错误（8%）。CPOE系统可以提高用药安全性，但同时也会引发其他问题，包括计算机界面故障、与其他系统的沟通不畅、缺乏充分的决策支持以及其他人为错误（知识不足、分心、经验不足和打字错误）。
在皮肤科领域，改进用药错误的跟踪和报告存在机会。需要建立系统来确保患者了解如何使用他们的药物。
