Investigation on causes of drug dispensing errors in ward pharmacies and its preventive measures
Objective To analyze the causes of drug dispensing errors in ward pharmacies and make corresponding preventive measures.Methods 59 prescriptions with drug dispensing errors from the ward pharmacies were selected as the study subjects.The causes of drug dispensing errors were investigated by retrospective analysis,and the incidence of different error causes was recorded.Results In 59 prescriptions,the error rate of pharmacist factor was 49.15%,the error rate of drug factor was 18.64%and the error rate of physician factor was 32.20%.Among the pharmacist factors,the error rate of responsibility was 79.31%,and the error rate of drug location was 20.69%.Among the drug factors,the error rate of similar drug packaging was 27.27%,the error rate of similar drug name was 18.18%,and the error rate of different specifications with the same name was 54.55%.Among the physician factors,the error rate of doctor's order was 5.26%,the error rate of dosage,specification and usage was 21.05%,the error rate of incorrect or unclear usage was 15.79%,and the error rate of incompatibility was 57.89%.Conclusion Reasonable analysis of causes of drug dispensing error in ward pharmacies,so that effective measures can be taken to prevent the occurrence of errors.