初级卫生保健电子处方中潜在的用药错误

R. Nurfitria, Rima Nur Adillah Effendi, Deni Iskandar
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引用次数: 4

摘要

减少用药错误的一种方法是使用电子处方[1,2,4]。然而,需要对该系统进行评估,因为该系统并非没有用药错误。本研究旨在了解处方流程的描述,检验电子处方的完整性,并利用处方指标找出电子处方处方阶段可能发生的用药错误[1,5,9,10]。本研究采用观察法,选取万隆某公司卫生所2018年3月全科门诊处方数据,进行描述性分析[6,7,8]。该医疗机构的电子处方由医生制作和输入。当计算机系统出现错误时,医生会手动开出处方,这样病人仍然可以得到服务。最常见的处方不完整是行政要求,所有处方都没有列出医生的执业许可证、患者的性别、患者的体重、执业地点的电话号码和患者的联系电话。根据国家药物错误报告和预防协调委员会(NCC-MERP),药物错误最有可能发生在两种或两种以上药物相互作用的处方书写中,这种错误被归类为D类。
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Potential Medication Errors in Electronic Prescribing in A Primary Health Care
An effort to reduce medication errors is to use drugs prescription electronically[1,2,4]. However, there needs to be an evaluation of this system, because this system is not free from errors in medication. This study aimed to find out the description of prescribing flow, to examine electronic prescription completeness, and find out the potential medication errors that occur in the prescribing phase of electronic prescription using prescribing indicators[1,5,9,10]. This study used observational method by taking general practice outpatient prescription data of March 2018 in a company health service located in Bandung and analyzed descriptively[6,7,8]. Electronic prescription of medicines at this health care was made and inputted by doctors. When an error occured on a computer system, the doctor would prescribe it manually so that the patient can still be served. Incompleteness of the most common recipe was on administrative requirements where all prescriptions did not listed the doctor's practice permit, patient's gender, patient's weight, telephone number of the place of practice, and patient's contact number. Medication errors had the most potential for the occurrence of prescription writing with two or more drugs interacting and this error was classified as category D according to The National Coordinating Council for Medication Error Reporting and Prevention (NCC-MERP).  
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