我院形似音似药品的安全管理模式和成效.pdfVIP

我院形似音似药品的安全管理模式和成效 ＊ # 焦 蕾 ，胡 扬，张 岩，张翠莲（中国医学科学院/北京协和医学院北京协和医院药剂科，北京 100730） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2015）04-0509-04 DOI 10.6039/j.issn. 1001-0408.2015.04.25 摘 要 目的：促进医院对形似音似药品管理水平的提升，减少调配差错。方法：总结我院在建立健全形似音似（LASA ）药品的管 理制度及改进相似医院制剂包装等方面进行的持续改进与实践性探索，并对改进后的2010－2013年与改进前的2006－2009年间 出现的调配差错进行对比分析。结果：通过建立健全LASA 药品管理制度及不断更新目录、加强培训、改进形似制剂包装等可行 措施等，并借助药房自动化设备，使调配差错的数量由改进前4年的127例减少到改进后4年的75例。结论：对LASA 药品建立相 关的管理制度并进行持续改进，有助于降低药品调配差错。 关键词 药品管理；持续改进；调配差错；形似音似药品 Mode and Effects of Safety Management for Look-alike and Sound-alike Drugs in Our Hospital JIAO Lei ，HU Yang ，ZHANG Yan ，ZHANG Cui-lian （Dept. of Pharmacy ，Peking Union Medical College Hospi- tal ，Peking Union Medical College Chinese Academy of Medical Sciences ，Beijing 100730，China ） ABSTRACT OBJECTIVE ：To improve the management of look-alike and sound-alike （LASA ）drugs in our hospital ，and to re- duce dispensing errors. METHODS ：Continuous improvement and practice exploration of our hospital were summarized in respects of the establishment and improvement of LASA drug management system ，the improvement of similar hospital preparation pack- age ，etc. The dispensing errors were compared and analyzed between before improvement （2006-2009）and after improvement （2010-2013）. RESULTS ：The number of dispensing errors were reduced from 127cases in 4 years before improvement to 75 cases in 4 years after improvement through establishing and improving LASA drug management system ，strengthening training ，improv- ing similar preparation package and other measures ，based on automatic pharmacy machine. CONCLUSIONS ：It can help reduce dispensing errors to establish and continuously improve the management system for LASA drugs. KEYWORDS Drug management ；Continuous improvement ；Dispensing error ；Look-alike and sound-alike drugs 形似音似（Look-alike and sound-alike ，LA