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减少眼科用药处方错误的方法。

Methods to reduce prescription errors in ophthalmic medication.

作者信息

Utman Saqib A K, Atkinson Peter L, Baig Hanna M

机构信息

Moorfields Eye Hospital, London, UK.

Bradford Royal Infirmary, Bradford, UK.

出版信息

Saudi J Ophthalmol. 2013 Oct;27(4):267-9. doi: 10.1016/j.sjopt.2013.09.003. Epub 2013 Sep 25.

DOI:10.1016/j.sjopt.2013.09.003
PMID:24371422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3841255/
Abstract

PURPOSE

The purpose of this audit was to determine the most common medication related prescription errors in ophthalmic practice, to determine avoidable prescription errors and evaluate the effect of preventative methods against these errors.

METHODS

The first audit was conducted prospectively over a four week period in Oct 2009 and a re-audit after 6 months on May 2010, to determine the effects of preventative measures suggested in the first audit.

RESULTS

There were 4.7% (29/623) prescription errors during the initial four week audit period. A method of check and counter check of prescriptions was implemented and re-audit showed a reduction in incidence of errors to 0.77% (5/651) errors.

CONCLUSIONS

The majority of prescribing errors occurred at the stage of writing the prescription and our findings suggest that the intervention of check and counter check can reduce the rate of error significantly.

摘要

目的

本次审核的目的是确定眼科实践中最常见的与药物相关的处方错误,确定可避免的处方错误,并评估预防这些错误的方法的效果。

方法

首次审核于2009年10月进行,为期四周,前瞻性开展;2010年5月在6个月后进行了重新审核,以确定首次审核中建议的预防措施的效果。

结果

在最初的四周审核期内,处方错误率为4.7%(29/623)。实施了一种处方检查和复查方法,重新审核显示错误发生率降至0.77%(5/651)。

结论

大多数处方错误发生在开处方阶段,我们的研究结果表明,检查和复查干预可显著降低错误率。

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本文引用的文献

1
An ocular medication dispensing error.一次眼科药物配药错误。
Br J Clin Pharmacol. 2006 Dec;62(6):715-6. doi: 10.1111/j.1365-2125.2006.02646.x.
2
The incidence of prescribing errors in an eye hospital.一家眼科医院的处方错误发生率。
BMC Ophthalmol. 2005 Mar 22;5:4. doi: 10.1186/1471-2415-5-4.
3
A feasibility study for recording of dispensing errors and near misses' in four UK primary care pharmacies.英国四家基层医疗药房中配药错误及险些出错情况记录的可行性研究。
Drug Saf. 2003;26(11):803-13. doi: 10.2165/00002018-200326110-00005.
4
National observational study of prescription dispensing accuracy and safety in 50 pharmacies.对50家药店处方配药准确性和安全性的全国性观察性研究。
J Am Pharm Assoc (Wash). 2003 Mar-Apr;43(2):191-200. doi: 10.1331/108658003321480731.
5
An organisation with a memory.一个有记忆的组织。
Clin Med (Lond). 2002 Sep-Oct;2(5):452-7. doi: 10.7861/clinmedicine.2-5-452.
6
Inadvertent instillation of Minims eye drops in an ophthalmic casualty department.在眼科急诊室意外滴入Minims眼药水。
Acta Ophthalmol Scand. 1995 Feb;73(1):89.