Prescription for Error: Process Defects in a Community Retail Pharmacy
Prescription for Error: Process Defects in a Community Retail Pharmacy
复制标题
错误处方：社区零售药房的流程缺陷
DOI：
10.1097/pts.0b013e31815a613e
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发表时间：
2007
影响因子：
2.2
通讯作者：
L. Dundes
中科院分区：
文献类型：
--
作者：
D. Witte;L. Dundes
超过 45% 的美国人口每天至少服用 1 种处方药，其安全性因全国药房每年发生超过 5000 万次用药错误而受到影响。这提出了一个危险的问题，因为如果在患者服用药物之前没有发现用药错误，则会导致药物不良事件和死亡。这项在马里兰州卡罗尔县的一家零售药房进行的单点前瞻性观察研究的目的是测量零售环境中用药错误的频率和来源，并确定在被发现之前到达患者手中的用药错误的比例。所研究的药房的配药错误频率为 0.26%。在总共 33 个错误中，有 12 个是由患者发现的。为了提高患者安全，需要关注错误来源，例如药房员工的注意力分散、技术人员缺乏药品知识以及药剂师在验证过程中未能查看纸质处方。这些发现表明需要加强对社区药房配药错误的监控。
The safety of the more than 45% of the United States population that ingests at least 1 prescription medication daily is compromised by more than 50 million medication errors occurring annually in pharmacies nationwide. This presents a dangerous problem because medication errors lead to adverse drug events and death if they are not discovered before patients ingest the medications. The goal of this single site prospective observational study conducted at a retail pharmacy in Carroll County, Maryland, was to measure the frequency and sources of medication errors in a retail setting and to determine the proportion of medication errors that reach the patient before being discovered. The frequency of dispensing errors in the pharmacy studied was 0.26%. Of the total 33 errors noted, 12 were discovered by patients. Attention to sources of error such as distractions to pharmacy employees, technicians' lack of knowledge concerning pharmaceutical products, and pharmacists' failure to view hard copy prescriptions during verification are needed to increase patient safety. These findings suggest the need for increased monitoring of dispensing errors in community pharmacies.
DOI：
10.1001/jama.274.1.35
发表时间：
1995-07
期刊：
JAMA
影响因子：
--
作者：
L. Leape;D. Bates;D. Cullen;J. Cooper;H. Demonaco;T. Gallivan;R. Hallisey;J. Ives;N. Laird;G. Laffel
通讯作者：
L. Leape;D. Bates;D. Cullen;J. Cooper;H. Demonaco;T. Gallivan;R. Hallisey;J. Ives;N. Laird;G. Laffel