Analysis and Countermeasures of 247 Cases of Prescription Errors in Peking University Shougang Hospital

目的:减少北京大学首钢医院(以下简称"我院")门诊专科医师跨科开药所致的处方环节用药错误(以下简称"处方错误"),保障门诊患者用药的安全性、有效性和经济性.方法:采用回顾性研究方法,对我院2013年处方点评中发现的247例处方错误进行统计、分析.结果:247例用处方错误中,跨科开药现象非常普遍;处方错误的分类中,以给药频次和单次给药剂量错误最为常见,分别占23.9%和22.7%,其次是无适应证或超适应证用药和重复给药,各占13.8%;疗程、药品品种、给药途径、禁忌证和溶剂错误共占总用药错误的19.0%.跨科开药导致的处方错误中,较为常见的依次为禁忌证用药、给药数量、给药时间、给药频次和重复给药错误.结论:跨科开药是导致处方错误和患者伤害的重要原因,医院应采取措施减少跨科开药的发生.OBJECTIVE:To reduce the prescription medication errors ( hereinafter referred to as "prescription errors") that caused by interdisciplinary prescriptions from the specialists in the outpatient department of Peking University Shougang Hospital ( hereinafter referred to as "our hospital"), and to ensure the safe, effective and economic medication in outpatients.METHODS:Retrospective analysis was adopted to conduct statistical analysis on 247 cases of prescription errors that found in the prescription review of our hospital in 2013.RESULTS: Of the 247 cases of prescriptions errors, interdisciplinary prescriptions were very common phenomenon.Dosing frequency errors and single dose errors took the lead of prescription errors classification, respectively accounting for 23.9% and 22.7%;followed by no indications for medication or over indications, and repeated administration , each accounting for 13.8%;the treatment course , drug varieties, route of administration , contraindication and solvent errors totally took up 19.0%of total medication errors.Of the interdisciplinary prescriptions errors, it was quite common to see, in turn, contraindications medication, dosing quantity , dosing time, dosing frequency and repeated administration. CONCLUSIONS: Interdisciplinary prescriptions were the essential cause for the prescription errors and patients' damage , the hospital should take measures to reduce the occurrence of interdisciplinary prescriptions .198-1001