郭丽谊 曾华 叶素琪

【摘要】 目的：研究PDA扫描仪扫描核对技术在护士安全用药中的应用效果。方法：在笔者所在医院统一实行PDA扫描核对技术的科室中，选择产科病区的6个病房进行研究，对PDA扫描核对技术实行前（2016年9月-2017年6月）与实行后（2017年7月-2018年4月）两组护士的用药错误发生率进行记录。结果：PDA扫描核对技术实行前护士共给药2 520次，实行后共给药2 540次；实行前药物执行错误合计24次（错误因素包括执行时间提前或推后、患者錯误、药物错误、用药途径错误、其他错误等5个成因），实行后药物执行错误为0次，实行前药物执行错误高于实行后（0.63%>0），实行前用药相关潜在不良事件高于实行后（0.60%>0）。同时，实行前给药时间错误率显著高于实行后（0.71%>0），相关用药潜在不良事件发生率亦高于实行后（0.79%>0）。组间数据均经过比较，差异有统计学意义（P<0.05）。结论：应用PDA扫描核对技术可显著降低用药错误的发生率，在一定程度上还能减少医疗纠纷的发生，具有较高的临床应用价值。

【关键词】 PDA扫描核对技术； 安全用药； 护士

doi：10.14033/j.cnki.cfmr.2018.26.085 文献标识码 B 文章编号 1674-6805（2018）26-0-03

【Abstract】 Objective：To study the application effect of PDA scanning and checking technology in nurses' safe medication.Method：Six wards in the obstetric ward were selected for study in the department that uniformly implemented PDA scanning and checking technology in our hospital.The incidence of medication errors of nurses in the two groups was recorded before and after the implementation of PDA scanning and checking technology（September 2016 to June 2017）.Result：Before the implementation of PDA scanning and checking technology，a total of 2 520 times and 2 540 times were given by nurses.Perform error total 24 times a former drugs （error factors included the execution time in advance or delay，patients，medication errors，way of medication errors and other errors five causes），drug enforcement after the error to zero，after implementing effect drugs perform error was higher than before（0.63%>0），a drug related potential adverse events is higher than before（0.60%>0） after practice.At the same time，the time error rate before administration was significantly higher than after administration（0.71%>0），and the incidence rate of potential adverse events of related drugs was also higher than after administration（0.79%>0）.The data between the groups were all compared and there were significant difference（P<0.05）.Conclusion：PDA scanning and checking technology can significantly reduce the incidence of medication errors，reduce the occurrence of medical disputes to a certain extent，and have high clinical application value.

【Key words】 PDA scanning and verification technology； Safe medication； The nurse

First-authors address：Guangzhou Womens and Childrens Medical Center Pearl River New Town Hospital Area，Guangzhou 510000，China

用药错误指的是在治疗过程中，医护人员或患者不恰当的使用药物，造成患者因此出现损伤的事件[1]。一旦出现用药错误的情况，不仅会影响患者的身心健康，还会影响患者的治疗效果。据研究调查，在我国各医院中，药物不良反应发生率为6.5%，其中大部分药物不良反应发生的问题都出现在药物的转录、给药这两个阶段[2]。随着医疗科技的发展，PDA条形码扫描核对技术在医院药房中已得到广泛的应用，同时还能有效避免护理用药错误的情况出现，促进医院药物管理安全水平的提高[3]。本文主要……