West John C
AIG Consultants, Inc., Healthcare Management Division.
J Healthc Risk Manag. 2005;25(3):23-7. doi: 10.1002/jhrm.5600250308.
The medication use process is a complex system made up of interlocking component subsystems. These include the prescribing, dispensing and administration systems. Although great emphasis has been placed on preventing errors in the administration process, the prescribing process can be a common source of error. Physicians and other practitioners need to be aware of the sources of error in this subsystem and need to be receptive to ideas and suggestions for reducing prescribing errors, because only the prescribers themselves can fix this part of the system.
药物使用过程是一个由相互关联的子系统组成的复杂系统。这些子系统包括开方、调配和给药系统。尽管人们非常重视预防给药过程中的错误，但开方过程可能是常见的错误来源。医生和其他从业者需要了解该子系统中的错误来源，并愿意接受减少开方错误的想法和建议，因为只有开方者自己才能修复系统的这一部分。
