An Analysis of Drug Administration Taskson Safety Management in Medical Centers

N. Yamao, Y. Okada
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Abstract

The safety management in various hospitals recently has begun in order to reduce the incidents and prevent human errors. Among incidents that occurred in hospital, many are related to drug administration error. Drug administration error is a type of human error that occurs somewhere in the process spanning from medicine prescription by the doctor through administration by the nurse. We examined whether there is any problem with the incident report on the drug administration error in the hospital. Then, we found that it is difficult for safety manager with little experience, to find the problems in drug administration task. Also we found that they didn’t know how they would discuss countermeasures. Therefore we studied to help safety manager find and take measure in work including dangerous factors at drug administration tasks by evaluating the risk of the work. The method is evaluating the risk of the work in the drug administration tasks by using Factors List, Risk Score and Influence of the Factors. By using this method, it helps safety managers in the hospitals understand problems of the work in the drug administration tasks and activate the recurrence prevention activities of medical accident.
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医疗中心药品监督管理工作安全管理分析
为了减少事故发生,防止人为失误,近年来各医院已经开始了安全管理工作。在医院发生的事故中,许多都与药物管理错误有关。药物管理错误是一种人为错误,发生在从医生开处方到护士给药的过程中。我们审查了医院的用药失误事件报告是否有问题。然后,我们发现经验不足的安全管理人员很难发现药品管理工作中的问题。我们还发现,他们不知道如何讨论对策。因此,通过对药品监督管理工作的风险评价,帮助安全管理人员发现工作中包括危险因素并采取措施。该方法采用因素表法、风险评分法和影响因素法对药品管理任务中工作的风险进行评价。运用该方法,有助于医院安全管理人员了解药品管理工作中存在的问题,激活医疗事故的预防再发生活动。
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