摘要
目的:将灾害脆弱性分析(hazard vulnerability assessment,HVA)方法引入高警示药品的风险管理中,分析医院对高警示药品风险项目的承受能力,以明确应对重点,为医院管控高警示药品做有益的探索。方法:应用HVA方法,对河北省人民医院的高警示药品在临床使用中的潜在风险事件加以识别,进行风险评估和排序,确定需要优先应对的突发风险事件(即风险项目)。结果:本院高警示药品的管控中存在13个风险项目,其中属于中度风险者2个,分别为医师处方给药剂量错误和处方审核漏检差错处方,其他均属于低度风险。结论:HVA方法可应用于医院高警示药品的管理。针对风险提出加强管理的具体措施,不仅可降低高警示药品灾害脆弱度带来的安全用药风险,同时也可为安全、有效地管理高警示药品提供帮助。
Objective:To introduce the hazard vulnerability assessment(HVA)method to the risk management of high-alert drugs,and also to analyze the hospital’s ability to withstand high-alert drug risk factors,so as to clarify the priorities and make useful explorations for the hospital’s control of high-alert drugs.Methods:The HVA method was used to identify and evaluate the potential risk events for high-alert drugs in the hospital,and then the risk assessment items were assessed and ranked in order,so as to identify high risk events demanding top priority management.Results:There were 13 risk items in the management and control of high-alert drugs in the hospital,of which 2 items were of moderate risk level,i.e.the prescription dosage error and neglect of error prescriptions in prescription review,and other items were of all low risk level.Conclusion:The HVA method could be applied to the management of high-alert drugs in the hospital.Specific contermeasures to strengthen risk management in accordance with risk factors could not only reduce the risk of safe drug use caused by hazard vulnerability of high-alert drugs,but also provide assistance for safe and effective management of high-alert drugs.
作者
安静
董占军
任炳楠
薛朝军
马银玲
AN Jing;DONG Zhanjun;REN Bingnan;XUE Chaojun;MA Yinling(Department of Pharmacy,Hebei General Hospital,Shijiazhuang 050051,China)
出处
《药学服务与研究》
CAS
2020年第2期111-115,共5页
Pharmaceutical Care and Research
关键词
高警示药品
风险管控
灾害脆弱性分析
药品管理
high-alert drug
risk management
hazard vulnerability assessment
drug management
