Andersen S R, St Peter J V, Macres M G, St Peter W L
Drug Evaluation Unit, Minneapolis Medical Research Foundation (MMRF), MN 55404, USA.
Am J Health Syst Pharm. 1997 Jul 15;54(14):1611-3. doi: 10.1093/ajhp/54.14.1611.
The accuracy of pharmacy technicians versus pharmacists in checking drug doses prepared in syringes for a dialysis program was studied. Three pharmacy technicians from the pharmacy of a regional kidney disease program in Minnesota participated in the study after completing a training program and after common preparation errors had been identified by pharmacists. From November 1995 to April 1996, the technicians used labels printed from a database of pharmacist-verified orders to prepare and label i.v. syringes. Four medications were used-epoetin alfa, calcitriol, heparin prepared from beef lung, and heparin prepared from porcine intestinal mucosa. Each syringe was checked by one of nine pharmacists for accuracy of dose and medication, and all errors were recorded. The technicians checked syringes prepared by other technicians and also recorded errors. Accuracy rates (percentages of syringes correctly evaluated) for pharmacists and technicians were compared. A total of 10,608 syringes were checked. Accuracy rates for pharmacists and pharmacy technicians were 99.86% and 99.83%, respectively. Accuracy rates in checking syringes did not differ significantly between pharmacists and technicians in this study setting.
本研究旨在探讨在透析项目中，药房技术员与药剂师核对注射器中所配药物剂量的准确性。明尼苏达州一个地区肾病项目药房的三名药房技术员在完成培训项目且药剂师已识别出常见配制错误后参与了该研究。1995年11月至1996年4月，技术员使用从药剂师核实过的医嘱数据库打印出的标签来准备和标记静脉注射器。使用了四种药物——促红细胞生成素α、骨化三醇、从牛肺制备的肝素以及从猪肠黏膜制备的肝素。每个注射器由九名药剂师中的一名检查剂量和药物的准确性，并记录所有错误。技术员检查其他技术员准备的注射器并记录错误。比较了药剂师和技术员的准确率（正确评估的注射器百分比）。总共检查了10,608个注射器。药剂师和药房技术员的准确率分别为99.86%和99.83%。在本研究环境中，药剂师和技术员在检查注射器时的准确率没有显著差异。
