Risk Assessment And Control Of Hospital Pharmacists In The Practice

Objective:Through the analysis of hospital pharmacists in drug dispensing process, to investigate and assess the risk of hospital pharmacists making errors, and formulate the preventive measures.Methods:(1) Through the investigation of 11 source of risky factors in the drug supply, analysis the severity of the risk of drug supply. It can be divided into the low levels risk, market risk and high levels of risk by analyzing the possibility, influence and control three aspects. So the risk priority corresponding risk include three levels, they are priority, general, and lag. High risk event should be to focus, and so on. (2) Based on the statistical analysis of our hospital pharmacy in March 2012 to 2014, two years of mixing error events, comparing the error rate and the number of errors after using method to before. (3) The analysis of clinical pharmacists in the clinical risk factors of occupation in the process of risk control, from two aspects of subjective and objective.Result:Through the analysis of the 11 risk events of drug supply, these 7 factors including procurement is not timely, acceptance not carefully, warehouse storage conditions not up to the standard, nearly valid or expired drugs, quality problems, narcotic drugs and psychotropic drugs, high-risk drugs are regarded as the high risk factors; The procurement of drugs plan inaccurate and the problems of drug quality because of withdrawal are regarded as the middle risk factors; Drug backlog, slow-moving and the pharmacy medicine opening retail drug are regarded as the low risk factors.Through the statistics of the dispensing errors of the hospital pharmacy in recent years, In 2013,78 cases of error events in outpatient department and emergency Pharmacy; which is 48 cases in 2014; In March 2012 to 2013, we check the 12678 orders in our central pharmacy,187 of them have errors, the error rate is 1.47%; In March 2013 to 2014, we check the 14651 orders in our central pharmacy,122 of them have errors, the error rate is 0.83%; Through the practice of survey error types of related measures, comparing the incidence of the error events of the two years, we can see after the implementation of the measures, the error rate is decreased obviously. The emergency pharmacy error events decreased in 30 cases, inpatient pharmacy error rate is reduced by 0.64%.Through continuously strengthen clinical pharmacy services in professional risk control, The understanding of clinical pharmacy service condition in medical staff and patient is increased by 7.1%,pharmacists practicing is increased by 6.5%.Conclusion:The drug supply risk events are distributed in the procurement, storage, distribution, using. The 11 risk events are not a possibility degree, and the influence is in the level above, controllability is general. Procurement and dispensing is priority, besides, storage is secondary.Emergency causes of the errors include the doctors’ mistakes on prescriptions and pharmacists mix distribution errors and other errors, etc. The main error factors are prescription errors and pharmacists. In the hospital pharmacy dispensing errors, nothing wrong number, specification error and position error is the main dispensing errors. The various error rate will be decreased obviously after corresponding control measures.Clinical pharmacy service has the characteristics of diversification, high frequency, difficult to control, high degree of crisis. The organizational risk and the individual risk were often change, Therefore, whether the hospital can provide a good and favorable environment and the attitude of clinical pharmacists and the professional level determine the size of the risk.