A Study of Medication Error in a Regional Teaching Hospital

• Main Authors: WANG,YA-WEI, 王雅薇
• Other Authors: SHI,CHENG-DIAN
• Format: Others
• Language: zh-TW
• Published: 2019
• Online Access: http://ndltd.ncl.edu.tw/handle/qjjtj8

碩士 === 大仁科技大學 === 藥學系碩士班 === 107 === This study was retrospectively studied. The statistical period was from March 1, 2018 to December 31, 2018. In the medication error events of outpatient, emergency, discharge, and inpatient pharmacy in a regional hospital teaching hospital in central Taiwan. The medication error events were defined by the US National Coordinating Council for Medication Error Reporting and Prevention(NCC MERP), and were classified into A to I (a total of nine levels). Before the improvement period: the total number of prescriptions was 339,169, and the number of medication error events was 146, respectively. The medication error events were included 73 outpatient events and 73 inpatient events. The rate of dispensing error was 0.043%. According to NCC MERP classification (A-I), there were Class A 0 event, Class B 139 events (95.21%), Class C 7 events (4.80%), Class D-I 0 event, respectively. After the improvement period: the total number of prescriptions was 334,870 and the number of medication error events was 99, respectively. The medication error events were included 53 outpatient events and 46 inpatient events. The rate of dispensing error was 0.030%. According to NCC MERP classification (A-I), there were Class A 0 event, Class B 96 events (96.97%), Class C 2 events (2.02%), Class D 1 event (1.01%), Class E-I 0 event, respectively. In this study, I wish the outcome could be improved the number of dispensing errors and minimized possible harm. Otherwise, I wish the outcome could be improved medication safety, maintained medical quality, and avoided medical error.