医院用药安全风险测评.pptVIP

医院用药安全风险测评与常见用药差错 中日友好医院药学部 常 明 changming99@ 2009.6.11 背 景 患者安全（Patient Safety）作为医院认证与医疗质量管理的核心 用药安全（Medication Safety）已成为国内外研究的热点问题 Medication Safety用药安全 1.5 million preventable adverse drug events happen in the U.S.?each year. And the 400,000 that occur in hospitals result in $3.5 billion in additional costs.? This issue is not isolated to the U.S., so how can you improve medication safety？ 美国每年发生150万例可以预防的药物不良事件，其中40万例发生在医院，导致35亿美元的医疗费用。 这种情况不仅发生在美国，因此，我们将如何提高用药安全性？ National Patient Safety Goals Goal 1 – 患者识别 Improve the accuracy of patient identification Goal 2 – 有效沟通 Improve the effectiveness of communication among caregivers Goal 3 – 用药安全 Improve the safety of using medications Goal 4 – 院内感染 Reduce the risk of health care-associated infections National Patient Safety Goals Goal 5 – 用药连续性 Accurately and completely reconcile medications across the continuum of care Goal 6 – 防止跌倒 Reduce the risk of patient harm resulting from falls Goal 7 – 预防流感和肺炎 Reduce the risk of influenza and pneumococcal disease in institutionalized older adults National Patient Safety Goals Goal 8 – 患者参与 Encourage patients’ active involvement in their own care as a patient safety strategy Goal 9 – 识别患者内在风险（自杀） The organization identifies safety risks inherent in its patient population Goal 10 – 疾病预后 Improve recognition and response to changes in a patient’s condition Goal 3 – Improve the safety of using medications Managing Look Alike, Sound Alike Medications confuseddrugnames.pdf 外观相似药、读音相似药 Labeling Medications 加贴标签 oral medication label format.pdf Reducing Harm from Anticoagulation Therapy 抗凝治疗self Assessment for antithrombotic.pdf Goal 5 - Accurately and completely reconcile medications across the continuum of care Comparing Current and Newly Ordered Medications 比较现用药与新开医嘱药 Communicating Medications to the Next Provider 将用药情况告知下一位医生 Providing a Reconciled Medication List to the Patient 提供连续用药清单 Settings