运用医疗失效模式与效应分析方法预防分装药品错误的发生

邱婷婷,张萌萌,孔宪伟,杨毅恒

中国药学杂志 ›› 2018, Vol. 53 ›› Issue (13) : 1137-1139.

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中国药学杂志
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中国药学杂志 ›› 2018, Vol. 53 ›› Issue (13) : 1137-1139. DOI: 10.11669/cpj.2018.13.018
论著

运用医疗失效模式与效应分析方法预防分装药品错误的发生

  • 邱婷婷,张萌萌,孔宪伟,杨毅恒*
作者信息 +

Applying Healthcare Failure Mode and Effect Analysis to Prevent Medication Errors during Drug Subpackage

  • QIU Ting-ting, ZHANG Meng-meng, KONG Xian-wei, YANG Yi-heng*
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摘要

目的 预防分装药品错误的发生,确保患者用药安全。方法 运用医疗失效模式与效应分析方法(healthcare failure mode and effect analysis,HFMEA)评估分装和调剂分装药品全流程中的潜在失效模式及失效后果,进而分析整改措施并实施,以预防失效模式的再次发生,将实施前后失效模式RPN值进行配对t检验。结果 应用HFMEA模式后,影响分装药品用药错误发生的失效模式RPN值下降60%,P=0.000 2,差异具有统计学意义(P<0.05)。结论 HFMEA 模式的运用可以有效预防分装药品错误的发生,解决行业共性问题,提升患者用药安全。

Abstract

OBJECTIVE To prevent medication errors during drug subpackage and ensure patients′ medication safety.METHODS Healthcare failure mode and effect analysis (HFMEA) was applied to evaluate the potential failure modes and effects during drug repackaging and dispensing. Thereafter rectification measures was analyzed and carried out in order to prevent the recurrence of failure modes. Risk priority numbers (RPNs) before and after the implication of rectification measures were analyzed using paired t tests.RESULTS After the application of healthcare failure mode and effect analysis, RPN was statistically significantly (P<0.05) reduced by 60% (P=0.000 2), which affecting the incidences of medication errors during drug unit-dose repackaging.CONCLUSION The application of healthcare failure mode and effect analysis can effectively prevent medication errors during drug subpackage and improve patients′ medication safety.

关键词

分装药品 / 医疗失效模式与效应分析 / 安全用药

Key words

drug subpackage / healthcare failure mode and effect analysis / safe medication

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邱婷婷,张萌萌,孔宪伟,杨毅恒. 运用医疗失效模式与效应分析方法预防分装药品错误的发生[J]. 中国药学杂志, 2018, 53(13): 1137-1139 https://doi.org/10.11669/cpj.2018.13.018
QIU Ting-ting, ZHANG Meng-meng, KONG Xian-wei, YANG Yi-heng. Applying Healthcare Failure Mode and Effect Analysis to Prevent Medication Errors during Drug Subpackage[J]. Chinese Pharmaceutical Journal, 2018, 53(13): 1137-1139 https://doi.org/10.11669/cpj.2018.13.018
中图分类号： R954   

参考文献

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