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医学的病院で誤った処方箋を出した薬剤師
T S Lesar1, L L Briceland, K Delcoure
1Department of Pharmacy, Albany Medical Center Hospital, NY 12208.
JAMA
|May 2, 1990
まとめ
医師による処方誤りは,患者の安全に大きなリスクをもたらします. この研究では,1000件の処方箋に3.13件の誤差がみられ,特定の時間帯やジュニアレジデントの間でより高い割合を示した.
科学分野:
- 医療安全 医療安全について
- 薬理学 薬理学とは
- 医療サービス 研究 医療サービス
背景:
- 薬の処方誤差は,医療環境における重要な問題である.
- これらのエラーを特定し,軽減することは,患者の安全のために不可欠です.
研究 の 目的:
- 医師の処方誤りの発生率と特徴を定量化するために.
- 特定の時間,処方者グループ,およびより高いエラー率に関連する病院サービスを特定するために.
主な方法:
- 高等医療の教科病院で1年に渡って処方された薬の事前分析.
- 有害な結果をもたらす可能性に基づく処方エラーの検出と分類.
主要な成果:
- 289,411件の医薬品注文のうち,合計905件の処方誤差が検出されました.
- 全体的に検出されたエラー率は1000注文あたり3.13であり,1,000注文あたり1.81の有意なエラーでした.
- 午後の時間 (12時〜15時59分) で,第一年住人の間,産婦人科および外科/麻酔サービスで,より高い誤差率が観察されました.
結論:
- 薬の処方誤りは,患者にとって重大なリスクをもたらします.
- これらのエラーを減らすために,ターゲット化された教育,運用,リスク管理の介入が必要である.
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