Development of a program of the clinival pharmacology on internal management to progress practical ability

基于失效模式和效果分析，分析了在用药过程中可能存在的内部管理风险行为。结果，我们规定了剂量和特征的确定，药物相互作用的观察和药物效应的观察。根据这3种特定的风险行为，我们对2012年的护生进行了如下调查。内容为内部管理中药物指征的实际使用情况。结果，护生确认了用药剂量、特征、药物相互作用与药物适应证的关系。但多数未达到对药物效果的观察能力。为此，我们建立了系统的实践能力培养体系。目的是在讲座中指导护生实际使用药物指征的方法及3种特定风险行为的管理。在最后的实习中，教他们如何正确地对病人进行内部管理。

We analyzed possible risk actions relating internal management along the medication process based on the failure mode and effects analysis. As the result, we specified confirmation of dosage and signature, observation ofdrug's interaction and observation of drug effects. According to these 3 specified risk actions, we investigated nursing students in 2012 as follows. The content was the state of practical use of indication for drug in internal management. As the result, nursing students confirmed the dosage, signature and drug's interaction with the indication for drug. But most of them didn't reach the observation skill of drug effects.Therefore we established systematical education to progress practical ability. It is to instruct nursing students the method of practical use of indication for drug and the management of 3 specified risk actions in the lectures. And it is to teach them to practice internal management appropriately for patients on the final practice.