Soeda Shinji, Takayanagi Risa, Watanabe Masayuki, Yamada Yasuhiko
Department of Pharmacy, Tokai University Hachioji Hospital.
Tokyo University of Pharmacy and Life Sciences.
Yakugaku Zasshi. 2017;137(5):589-593. doi: 10.1248/yakushi.16-00217.
In this study, we established a methodology to calculate the rate of overlooking a dispensing error (inspecting error rate) as a new index for the purpose of determining dispensing error and malpractice rates. Using data obtained from analyses of these error rates at our and two other hospitals, an inspecting error rate was calculated for each institution. Our results showed that inspecting errors occurred at a frequency 3-5 times greater as compared to dispensing errors at each of the examined hospitals. We concluded that construction of a higher quality safety management system would be enabled by incorporation of an inspecting error rate as a new index to evaluate medical safety in regard to dispensing of medicines and managing inspection accuracy.
在本研究中，我们建立了一种方法来计算漏查调配差错率（检查差错率），将其作为一种新指标，用于确定调配差错率和医疗事故率。利用我们医院以及另外两家医院对这些差错率的分析所获得的数据，计算了每家机构的检查差错率。我们的结果表明，在所检查的每家医院中，检查差错发生的频率比调配差错高3至5倍。我们得出结论，通过纳入检查差错率作为评估药品调配方面医疗安全和管理检查准确性的新指标，能够构建更高质量的安全管理体系。
