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沙特阿拉伯利雅得市初级保健中的用药错误。

Medication errors in primary care in Riyadh City, Saudi Arabia.

机构信息

Cooperation Council for the Arab States of the Gulf Riyadh, Saudi Arabia.

出版信息

East Mediterr Health J. 2011 Feb;17(2):156-9.

PMID:21735951
Abstract

Medication errors can cause a variety of adverse drug events but are potentially preventable. This cross-sectional study analysed all medication prescriptions from 5 public and 5 private primary health care clinics in Riyadh city, collected by simple random sampling during 1 working day. Prescriptions for 2463 and 2836 drugs from public and private clinics respectively were examined for errors, which were analysed using Neville et al.'s classification of prescription errors. Prescribing errors were found on 990/5299 (18.7%) prescriptions. Both type B and type C errors (major and minor nuisance) were more often associated with prescriptions from public than private clinics. Type D errors (trivial) were significantly more likely to occur with private health sector prescriptions. Type A errors (potentially serious) were rare (8/5299 drugs; 0.15%) and the rate did not differ significantly between the 2 health sectors. The development of preventive strategies for avoiding prescription errors is crucial.

摘要

用药错误可能导致各种药物不良事件,但可以通过预防来避免。本横断面研究通过简单随机抽样,在一个工作日内收集了利雅得市 5 家公立和 5 家私立初级保健诊所的所有用药处方,分析了这些处方中存在的用药错误。对来自公立和私立诊所的 2463 种和 2836 种药物处方进行了错误分析,使用 Neville 等人的处方错误分类方法进行了分析。在 5299 张处方中,有 990 张(18.7%)存在用药错误。B 型和 C 型错误(主要和次要的麻烦)在来自公立诊所的处方中比在私立诊所的处方中更为常见。D 型错误(无关紧要)在私营医疗部门的处方中更有可能发生。A 型错误(潜在严重)则很少见(5299 种药物中有 8 种;0.15%),且在这两个卫生部门之间的发生率没有显著差异。制定预防用药错误的策略至关重要。

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