中药调剂常见差错及相应措施探讨（合集5篇）.docx

中药调剂常见差错及相应措施探讨（合集5篇）

第一篇：中药调剂常见差错及相应措施探讨中药调剂常见差错及相应措施探讨摘要：目的探讨中药调剂中常见的差错及应采取的对应措施。方法选取2012年9月-2014年9月间在本院门诊中药房发生的中药调剂差错病例103例，回顾性整理分析病例相关资料和影响中药调剂质量的相关因素，并针对每类因素制定相应的防范对策。结果全部病例的年龄和性别对本研究中药调剂差错的统计均无影响。103例中药调剂差错病例中，因药品因素导致调剂差错的病例共41例，其中药品包装相似9例、药品名称相近12例、药品质量问题2例、药品摆放不规范18例；因调配因素导致差错的病例共33例，其中剂量误差8例、饮片调剂过程浪费8例、饮片替代17例；因处方因素导致差错的病例共29例，其中处方录入差错13例、审方差错11例、忽视处方注脚5例。结论中药调剂中常见差错及原因较为复杂，针对这些差错应采取及时准确的应对措施，提高中药调剂质量，确保安全有效。关键词：中药调剂学；调剂差错；干预措施中图分类号：R288文献标识码：A文章编号：1005-5304（2016）05-0123-04DiscussiononCommonDeviationinTCMDispensingandCorrespondingMeasuresCHUYing（TheSecondPeople'sHospitalofLiangshanPrefecture，Xichang615000，China）Abstract：ObjectiveTodiscussthecommondeviationinTCMdispensingandcorrespondingmeasures.MethodsTotally103casesofTCMdeviationhappenedintheTCMdispensaryofoutpatientclinicinourhospitalfromSeptember2012toSeptember2014wereselected.RetrospectiveanalysiswasconductedtoanalyzecaserelateddatacollationandfactorsthataffectthequalityofTCMdispensing.Correspondingmeasuresforeachfactorweredesigned.ResultsAgeandgenderofallthe103casesshowednoinfluenceonthestatisticsofTCMdeviationinthestudy.Amongthe103casesofTCMdeviation，41caseswerecausedbyfactorsaboutmedicine.Amongthe41cases，9caseswereaboutsimilarpackaging；12caseswereaboutsimilarmedicinenames；2caseswereaboutqualityproblems；18caseswereaboutlackofstandardizationinmedicineplacement.33caseswerecausedbyfactorsaboutdeployment，amongwhich，8caseswereaboutdosageerror，8caseswereaboutwasteinthepreparationprocessofTCMdecoctionpieces，17caseswereaboutreplacementofTCMdecoctionpieces.29caseswerecausedbyfactorsaboutprescriptions，amongwhich，13caseswereabouterrorsofprescriptionenteringdeviation，11caseswereaboutprescriptionexaminingdeviation，5caseswereaboutignoranceofprescriptionfootnotes.ConclusionCommondeviationinTCMdispensingandthereasonsarecomplicated.TimelyandcorrectmeasurestargetingthemshouldbetakentoimprovethequalityofTCMdispensingandguaranteesafety.Keywords：scienceofdispensing；swaperror；interventions中药调剂指的是调剂人员依据中医师的处方，将中饮片按照中药调剂的规定