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                [1]江穎 肖明朝*李躍榮 楊佳丹.1例LASA藥品★用藥錯誤的分析與啟示[J].中國衛生質量管理,2019,26(06):072-75.[doi:10.13912/j.cnki.chqm.2019.26.6.20]
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                1例LASA藥品用藥錯誤的分析與◥啟示
                分享到:

                《中國衛生質量管理》[ISSN:1006-7515/CN:CN 61-1283/R]

                卷:
                第26卷
                期數:
                2019年06期
                頁碼:
                072-75
                欄目:
                患者安全
                出版日期:
                2019-11-28

                文章信息/Info

                作者:
                江穎 肖明朝*李躍榮 楊佳丹
                重慶醫科大學附屬第一醫院
                關鍵詞:
                LASA藥品用藥錯誤患者安全
                Keywords:
                Look-Alike and Sound-Alike (LASA)Drugs Medication ErrorPatient Safe
                DOI:
                10.13912/j.cnki.chqm.2019.26.6.20
                摘要:
                針對1例LASA藥品用藥錯誤案例,分析用藥錯等一下誤原因,制定LASA藥品規範管理制度,開展醫務人員LASA藥品用藥安全培訓,優化HIS功能,規範工作流程等改進措轟碎了周圍一片片土墻施並實施。對醫院提出了就在這時候健全LASA藥品管理制度,優化醫 院信息系統,營造患者安全文化氛圍等建議;對醫務人員提出了積極參與合理用好了藥專項□培訓,學習LASA藥品相關知識,制定患者參與用藥∮安全策略等建議;對患者提出了樹立用藥安全寒光星沒有如此狼狽過了意識,主動參與查對等建議;同時建議藥 品監管機構、藥品生產商、行≡業學會從源頭規範LASA藥品管理模◥式,以期減少LASA藥品用藥差錯,確保用藥安全。
                Abstract:
                Based on one case of Look-Alike and Sound-Alike(LASA) medication error, the causes were analyzed, the standardized management system of LASA medications was formulated, the safety training of LASA medication use for medical personnel was carried out, HIS function was optimized, workflow was standardized and other improvement measures were implemented. Suggestions were put forward to improve LASA drug management system, optimize hospital information system, and create a patient safety culture atmosphere. Furthermore, suggestions were put forward for medical staff to actively participate in the special training on rational drug use, learn LASA drug related knowledge, and formulate the safety strategy for patients to participate in drug use. The suggestions of establishing drug safety consciousness and taking part in checking were put forward for patients. It was suggested that drug regulatory authorities, drug manufacturers and industry institutes should regulate LASA drug management model from the source. These measures aimed to reduce LASA drug medication errors and ensure medication safety.

                參考文獻/References:

                [1]合理用一拳即破藥國際網絡(INRUD)中國中心組臨床安全用藥組.2014中國用藥錯誤管理專家共識[J].藥物不良反應雜誌,2014,16(6):323-326.

                相似文獻/References:

                [1]王欣 張青霞 焦峰 李小瑩.甲氨蝶呤用藥錯誤案例解析[J].中國衛生質量管理,2019,26(03):058.[doi:10.13912/j.cnki.chqm.2019.26.3.17]

                更新日期/Last Update: 2019-11-28