据美国国家用药失误数据库1999年对6224例报告的统计分析显示:其中187例(3％)出现短暂损害,5例永久损害,1例危及生命,1例死亡。美国医院(不包括其它医疗机构)因用药失误而死亡的患者每年达7000例。因此,应重视用药失误现象,逐步开展用药失误监测报告工作,以减少或预防用药失误的发生,保障患者安全。 美国用药失误报告表的主要内容如下: (1)失误情况 对失误进行描述,是哪级失误,事件发生的顺序,所涉及人员及工作环境。 (2)问题调查 ①患者是否已用药?②最初的失误由哪类医务人员所致?③失误导致的后果(例如,死亡、损害类型、个良 According to a statistical analysis of 6224 reports released by the National Drug Missed Database in 1999, 187 (3%) of these reported transient damage, 5 permanent damage, 1 life-threatening, and 1 death. In the United States hospitals (excluding other medical institutions) due to medication errors in patients died of up to 7000 cases a year. Therefore, we should attach importance to the phenomenon of medication errors, and gradually carry out drug abuse monitoring reports to reduce or prevent the occurrence of medication errors, protect patient safety. The main contents of the US medication error report form are as follows: (1) the error description of the error, which level of error, the sequence of events, the staff involved and working environment. (2) Question Survey (1) Has the patient been treated? (2) What kind of medical staff did the initial mistake result in? (3) The consequences of the error (eg death, type of injury,