Cohen Michael R, Smetzer Judy L
Hosp Pharm. 2016 Apr;51(4):279-83. doi: 10.1310/hpj5104-279.
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。通过对人员进行教育、提高警惕以及采取程序保障措施，可以避免这些差错。你应该考虑在时事通讯中公布差错案例和/或在在职培训项目中提及它们。需要你的协助来继续这一专题。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。也欢迎大家发表评论；如果作者希望，将公布其姓名。可通过以下所示地址联系ISMP。差错、险些发生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保证所接收信息的保密性和安全性，并尊重报告者对出版物中包含的详细程度的意愿。
