沙特阿拉伯一家教学医院的住院患者处方错误和药剂师干预。
Inpatient prescribing errors and pharmacist intervention at a teaching hospital in Saudi Arabia.
机构信息
Clinical Pharmacy Department, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh 11451, Saudi Arabia.
出版信息
Saudi Pharm J. 2011 Jul;19(3):193-6. doi: 10.1016/j.jsps.2011.03.001. Epub 2011 Mar 10.
BACKGROUND
Prescribing errors phenomena are very common within health care practice. These errors could result in adverse events and harm to patients. Pharmacist has an identified role in minimizing and preventing such errors.
OBJECTIVES
To detect the incidence of prescribing errors for hospitalized patient, to evaluate the clinical impact of pharmacist intervention on the detection of these errors, and to propose a program to overcome this problem in a teaching hospital.
METHODS
For one month period starting November until December 2009, the inpatient medication charts and orders were identified and rectified by ward and practicing pharmacists within inpatient pharmacy services in a teaching hospital at King Khalid University Hospital (KKUH) at King Saud University, Riyadh, Kingdom of Saudi Arabia on routine daily activities. Data were collected and evaluated. The causes of this problem were identified.
RESULTS
Approximately 113 (7.1%) prescribing errors were detected during the study period out of 1580 medication orders. Wrong strength and wrong administration frequency of the prescribed drug were the most errors encountered in the study, which were 35%, and 23%, respectively. Other errors such as wrong patient, wrong drug, and wrong dose were also encountered. Lack of knowledge of prescribing skill was the main cause of such errors.
CONCLUSION
Prescribing errors in teaching hospital within inpatient pharmacy services were noticed. The applied method in this project might be implemented as part of pharmacy quality assurance program for ongoing detection and monitoring of such errors. Technology in prescribing process will support the practitioner to reduce the incidence of these errors. Forcing ongoing professional communication and education within the medical team about prescribing errors now appear warranted.
背景
在医疗保健实践中，处方错误现象非常普遍。这些错误可能导致不良事件并对患者造成伤害。药剂师在最大限度地减少和预防此类错误方面具有明确的作用。
目的
检测住院患者的处方错误发生率，评估药剂师干预对检测这些错误的临床影响，并在教学医院提出克服该问题的方案。
方法
在 2009 年 11 月至 12 月的一个月期间，在沙特阿拉伯利雅得的沙特国王大学国王阿卜杜勒阿齐兹大学附属医院的住院药房服务中，病房和执业药剂师通过常规日常活动确定并纠正住院患者的用药图表和医嘱。收集和评估数据。确定了这个问题的原因。
结果
在研究期间，在 1580 份医嘱中发现了大约 113 份（7.1%）处方错误。研究中遇到的最常见错误是药物的规定强度和规定给药频率错误，分别为 35%和 23%。还遇到了其他错误，如错误的患者、错误的药物和错误的剂量。缺乏处方技能知识是此类错误的主要原因。
结论
在教学医院的住院药房服务中注意到了处方错误。该项目中应用的方法可以作为药房质量保证计划的一部分，以持续检测和监测此类错误。处方过程中的技术将支持从业者减少这些错误的发生。现在看来，有必要在医疗团队内部就处方错误进行持续的专业沟通和教育。
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