Causes of dispensing errors in western pharmacy and preventive measures
西药房发生调剂差错的原因及防范对策

摘要

目的 探讨西药房发生调剂差错的原因及防范对策。方法 收集2022年1月- 2024年12月期间西药房的870张处方，对处方中出现的差错数量及类型进行统计，深入探究导致调剂差错出现的引发因素。结果 西药房调剂差错并非只有一种类型，较为常见的有品种类别差错、用法用量差错、错发对象差错、用药禁忌差错以及数量差错等。而药物品名相似程度较高、外包装相近、同种药物存在多种规格，以及相关人员对用药禁忌掌握不够扎实等情况，都是引发调剂差错的主要因素。结论 西药房调剂差错事件呈现出类型多样、诱因复杂的特点。因此，应高度重视药房管理工作，全面提升药师的专业能力，促使药师自觉养成认真负责的工作态度，完善处方审核制度，全方位优化处方调剂质量，将调剂差错在临床中降到最低，保障患者群体的用药安全。

Abstract

Objective To explore the causes of dispensing errors in Western medicine pharmacies and preventive measures.
Methods Collect 870 prescriptions from January 2022 to December 2024, and statistically analyze the number and types of errors in these prescriptions to delve into the factors that lead to dispensing errors.
Results Dispensing errors in Western medicine pharmacies are not limited to one type; common ones include category errors, dosage errors, incorrect recipient errors, contraindication errors, and quantity errors. Factors such as high similarity in drug names, similar packaging, multiple specifications of the same drug, and insufficient understanding of drug contraindications by relevant personnel are all major contributors to dispensing errors.
Conclusion   Dispensing error incidents in Western medicine pharmacies exhibit diverse types and complex causes. Therefore, it is essential to place great emphasis on pharmacy management, enhance the professional capabilities of pharmacists, encourage them to develop a conscientious and responsible work attitude, improve prescription review systems, optimize the quality of prescription dispensing comprehensively, minimize dispensing errors in clinical settings, and ensure patient safety in medication use.