Cohen Michael R, Smetzer Judy L
President, Institute for Safe Medication Practices , 200 Lakeside Drive, Suite 200, Horsham, PA 19044; phone: 215-947-7797; fax: 215-914-1492 ; e-mail:
Vice President, Institute for Safe Medication Practices , Horsham, Pennsylvania .
Hosp Pharm. 2014 Sep;49(8):689-91. doi: 10.1310/hpj4908-689.
These medication errors have occurred in health care facilities at least once. They will happen again-perhaps where you work. Through education and alertness of personnel and procedural safeguards, they can be avoided. You should consider publishing accounts of errors in your newsletters and/or presenting them at your inservice training programs. Your assistance is required to continue this feature. The reports described here were received through the Institute for Safe Medication Practices (ISMP) Medication Errors Reporting Program. Any reports published by ISMP will be anonymous. Comments are also invited; the writers' names will be published if desired. ISMP may be contacted at the address shown below. Errors, close calls, or hazardous conditions may be reported directly to ISMP through the ISMP Web site (www.ismp.org), by calling 800-FAIL-SAFE, or via e-mail at ismpinfo@ismp.org. ISMP guarantees the confidentiality and security of the information received and respects reporters' wishes as to the level of detail included in publications.
这些用药差错在医疗机构中至少发生过一次。它们还会再次发生——也许就在你工作的地方。通过人员教育、提高警惕以及程序保障措施，这些差错是可以避免的。你应该考虑在你的时事通讯中公布差错案例，并/或在你的在职培训项目中提及它们。需要你的协助来继续这个专题。这里描述的报告是通过安全用药实践研究所（ISMP）的用药差错报告项目收到的。ISMP发布的任何报告都将是匿名的。我们也欢迎大家发表评论；如果愿意，作者的姓名将会公布。可通过以下所示地址联系ISMP。差错、险些酿成的差错或危险状况可通过ISMP网站（www.ismp.org）、拨打800-FAIL-SAFE或发送电子邮件至ismpinfo@ismp.org直接向ISMP报告。ISMP保证所收到信息的保密性和安全性，并尊重报告者对于出版物中所包含细节程度的意愿。
