目的:探討藥品差錯發生后,藥劑科的應對和處理預案,找出克服和避免的有效辦法。方法:分析藥劑科醫療差錯或醫療事故發生的主要類型。 結果:提出不同類型差錯發生后的防范和應對措施。結論:積極合理的防范和應對藥品差錯事件,對改善醫患關系及提高有效治療有重要意義。
目的：從法醫學角度探討醫療糾紛的成因并提出相關防范措施。方法：對2000年～2005年四川大學華西法醫學鑒定中心鑒定的共288例醫療糾紛資料進行回顧性整理分析。結果：近年來醫療糾紛有逐年增多的趨勢。醫療糾紛的常見原因有醫德醫風問題、醫療技術或設備不過關、醫務人員的失職或失誤等。低級別醫療機構醫療糾紛所占比例相對較高。外科、婦產科等科室醫療糾紛所占比例較高。結論：通過增強醫德修養，提高醫務人員技術水平，強化醫務人員自我保護意識，改善醫患關系等措施，能夠減少醫療糾紛發生。
目的 分析骨科醫療糾紛的原因及特點，為醫療糾紛的防范提供參考。 方法 收集2010年1月－2011年12月四川華西法醫學鑒定中心涉及四川省各級醫療機構的骨科醫療糾紛鑒定案例55例，進行回顧性分析。 結果 55例骨科醫療糾紛中2010年25例，2011年30例；醫源性醫療糾紛41例（74.5%），非醫源性醫療糾紛14例（25.5%）。醫源性醫療糾紛中醫療機構存在的問題主要以手術操作不當及失誤為主（15例，占27.3%），其次為醫患溝通不到位（8例，占14.5%）。 結論 骨科醫療糾紛防范的關鍵在于醫務人員認真履行其診療義務。
Objective To analyze outpatient pharmacy internal prescription dispensing errors list and raise suggestions on preventive measures, in order to provide better and safer medical service for patients. Methods We summarized and analyzed the prescription dispensing error types and causes based on 320 cases of internal prescription dispensing errors of the outpatient pharmacy in a hospital of the highest rank between January and June 2014. Then, we put forward suggestions on improvement measures. Six months after the implementation of these measures, we compared the error rate after dispensing between January and June 2014 with those between July and December 2014. Results Among all the 320 prescription dispensing errors, 120 (37.50%) were wrong medication amount, 101 (31.57%) were wrong drugs, 76 (23.75%) were wrong usage and dosage, 17 (5.31%) were wrong packaging specification, and 6 (1.87%) were wrong medication form. The dispensing error rate between July and December 2014 was reduced compared with the rate between January and June 2014. The error rate after dispensing declined from 0.01‰ to 0.006‰. Conclusion Encouraging drug dispensing personnel to issue internal dispensing error recording list for the staff who had errors in dispensing, promoting pharmacists’ professional quality, strengthening the management of outpatient pharmacy, reasonable storage of medicines, enhancing intervention of irrational prescriptions, improving the spatial layout of the pharmacy, and perfecting dispensing error management system, can in a large extent reduce medication errors.