Objective To promote the medication safety management of automated dispensing cabinet(ADC)in inpatient pharmacies.Methods After discussion among nurses and pharmacists in the hospital,the failure mode and effect analysis(FMEA)method was used to construct 20 failure modes(including 32 risk points)from the information system,personnel operation,drug information,hardware and management method.The above content was formulated as questionnaires,and the scoring criteria were constructed through expert consultation and pharmacist discussion.Before the intervention,the questionnaires were distributed for investigation.Based on the identified risks,the intervention measures were formulated for 30 operational risk points.After the continuous intervention for five months(after intervention),a questionnaire survey was conducted again to compare the Risk Priority Number(RPN)before and after the intervention.Results After intervention,the RPN of 30 risk points decreased to varying degrees,with 22 significantly decreased(P<0.05).After intervention,the RPN of all risk points in the management method significantly decreased(P<0.05),and the RPN of all risk points in the hardware was similar to that before intervention(P>0.05).Conclusion The application of FMEA method in the study of medication safety for ADC in inpatient pharmacies can decrease its medication risk,and promote the formation of rules for the safe use of ADC through joint management of pharmacists and nurses.FMEA method is particularly suitable for the management of special drugs such as anesthetics.
关键词
智能药柜/用药安全/失效模式与效应分析/住院药房/药品管理
Key words
automated dispensing cabinet/medication safety/failure mode and effect analysis/inpatient pharmacy/drug management
维普
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