[1]吴倩 刘红玲 翟谢民 庞浩.1例自备药用药错误的分析与改进[J].中国卫生质量管理,2020,27(05):076-78.
　WU Qian,LIU Hongling,ZHAI Xiemin,et al.Analysis and Improvement of One Case of Medication Error of Self-Contained Medicine[J].Chinese Health Quality Management,2020,27(05):076-78.
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1例自备药用药错误的分析与改进
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《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

卷:
第27卷
期数:
2020年05期
页码:
076-78
栏目:
患者安全
出版日期:
2020-09-28

文章信息/Info

Title:
Analysis and Improvement of One Case of Medication Error of Self-Contained Medicine
作者:
吴倩 刘红玲 翟谢民 庞浩
沧州市人民医院
Author(s):
WU Qian; LIU Hongling; ZHAI Xiemin; et al
Firstauthor's addressCangzhou People's Hospital
关键词:
自备药; 用药错误; 不良事件; 根本原因分析; 患者安全
Keywords:
Self-Contained Medicine;  Medication Errors;  Adverse Events;  Root Cause Analysis;  Patient Safety
分类号:
R197.323；R972
文献标志码:
B
摘要:
针对1例自备药用药错误事件进行分析，并制定改进措施。通过完善自备药管理制度，规范自备药使用流程，创建学习型科室，提高了医护人员用药安全意识及合理用药水平，杜绝了自备药用药错误再次发生
Abstract:
An error incident of self-contained medicine was analyzed and improvement measures were made. By perfecting the self-contained medicine management system, standardizing the use process of self-contained medicine, and creating learning departments, medical staff's awareness of medication safety and rational medication use level were improved, and errors of self-contained medicine were prevented from happening again

参考文献/References:

［1］Brady A M，Malone A M，Fleming S.A literature review of theindividual and system s factors that contribute to medication errors in nursing practice［J］.J Nurs Manag，2009，17(6):679-697.

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更新日期/Last Update: 2020-09-28