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目的探讨西药房高危药品管理中存在的问题及对策。方法选取2015年6月—2016年6月于安乡县人民医院西药房高危药品19类及高危药房管理人员7人。通过文献调查、对西药房和病区的抽查,发现并总结高危药品管理中存在的问题,并提出对策。比较高危药品问题干预对策实施前后高危药品使用不良事件发生情况。结果本院西药房高危药品管理中存在管理人员、摆放、警示牌标识及用药安全问题。针对西药房存在的各种问题提出了提高西药房管理人员的综合素质,构建和完善安全管理制度,加强信息化管理及高危药品的摆放管理、警示牌管理及用药安全管理等对策。干预后高危药品发生各种不良事件数低于干预前。结论对医院西药房高危药品进行管理干预,可有效减少高危药品不良事件发生。
Objective To explore the problems and countermeasures in the management of high-risk drugs in western pharmacy. Methods Totally 19 high-risk drugs and 7 high-risk pharmacy managers in West Pharmacy of Anxiang People’s Hospital from June 2015 to June 2016 were selected. Through the literature survey, the western pharmacy and ward sampling, found and summarized the problems in the management of high-risk drugs, and put forward countermeasures. Compare the occurrence of adverse events of high-risk drugs before and after the implementation of high-risk drug interventions. Results Our hospital western pharmacy high-risk drug management in the presence of managers, display, warning signs and drug safety issues. In view of the existing problems in the western pharmacy, the overall quality of western pharmacy managers is raised, the safety management system is constructed and perfected, and the countermeasures such as information management, placement management of high-risk medicines, warning sign management and medication safety management are proposed. The number of adverse events after high-risk drug intervention was lower than before intervention. Conclusions Management intervention on high-risk drugs in western pharmacy can effectively reduce the incidence of adverse events in high-risk drugs.