Human Error Evaluation for the Pharmacist during Prescription
The human errors have happened during prescription in the medicine station. These errors would make patient hurt or death. The prescription safety always has been a key part of patient safety. The object of this study was investigating drug prepare procedure in medication workstations to evaluate the human reliability of prescription. The event rate and risk factors of human error of medication processes has been put together to generate advance reengineering device of work environment. The methods were in-plant survey, job analysis, workstation measurement, anthropometry and questionnaires, Results of this study were 100％ people known that miss would happened during the prescription prepare processes; By the Swain theory, the most common types of activity errors was commission; By the Ramussen ‘s theory, the most common types of behavior error were rule-based; During June 2004～May 2008, the trend of error rate was decreasing from 0.002 (0.2％) to 0.0005 (0.05％). Pharmacists were very familiar the procedure of their jobs. However, sometimes, they would make mistakes for some reasons in the well-known tasks. It might be carless, miss one or two steps or made un-appropriate decisions. To increase human reliability of prescribing, good job rotation, task scheduling of pharmacy department in hospital, and training to reinforce basic concepts of patient safety & prescription procedure were recommended.
patient safety human reliability prescription medicine station
Chih-Wei Lu Jen-Pin Cheng Sung-Yen Tsai Chi-Ling Huang
Graduate Institute of Occupational Safety and Health, Kaohsiung Medical University Pharmacy Department, Kaohsiung Medical University Hospital,100 Shih-Chuan 1st Rd. 807, Kaohsiung Cit
国际会议
17th World Congress on Ergonomics(第十七届国际人类工效学大会)
北京
英文
1-4
2009-08-09（万方平台首次上网日期，不代表论文的发表时间）