Clinical Study of HIMSS Stage 6 Technology in Preventing Medication Errors in Children

Jian-ming SUN; Qin SU; Kun-xiang WANG; Chun-yan ZHAO; Yuan LI; Quan-hong LI; Ming PU

doi:10.12259/j.issn.2095-610X.S20210427

Volume 42 Issue 4

Apr. 2021

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Article Navigation > Journal of Kunming Medical University > 2021 > 42(4): 142-145

Jian-ming SUN, Qin SU, Kun-xiang WANG, Chun-yan ZHAO, Yuan LI, Quan-hong LI, Ming PU. Clinical Study of HIMSS Stage 6 Technology in Preventing Medication Errors in Children[J]. Journal of Kunming Medical University, 2021, 42(4): 142-145. doi: 10.12259/j.issn.2095-610X.S20210427

Citation:

Jian-ming SUN, Qin SU, Kun-xiang WANG, Chun-yan ZHAO, Yuan LI, Quan-hong LI, Ming PU. Clinical Study of HIMSS Stage 6 Technology in Preventing Medication Errors in Children[J]. Journal of Kunming Medical University, 2021, 42(4): 142-145. doi: 10.12259/j.issn.2095-610X.S20210427

Citation:

Jian-ming SUN, Qin SU, Kun-xiang WANG, Chun-yan ZHAO, Yuan LI, Quan-hong LI, Ming PU. Clinical Study of HIMSS Stage 6 Technology in Preventing Medication Errors in Children[J]. Journal of Kunming Medical University, 2021, 42(4): 142-145. doi: 10.12259/j.issn.2095-610X.S20210427

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Clinical Study of HIMSS Stage 6 Technology in Preventing Medication Errors in Children

doi: 10.12259/j.issn.2095-610X.S20210427

Dept. of Pharmacy，Kunming Children’s Hospital，Kunming Yunnan 650034，China

Received Date: 2020-12-08
Publish Date: 2021-04-25

Abstract

Abstract

Objective To study the efficacy of HIMSS stage 6 on the number and types of medication order errors. Methods Data of medication order errors after application of HIMSS stage 6 technology were collected as the study group, and data of medication order errors before application of HIMSS stage 6 technology were collected as the control group. The number and types of medication order errors were compared between the two groups. Results After the application of this technology, there were 265 borderline errors in medication orders, including 204 （76.98%） of usage and dosage, 56 （21.13%） of dosage form or route of administration, 5（1.89%） of repeated drug use, and 0 contraindication, which were significantly lower than those in control group （P < 0.05）. There were 71 borderline errors in pharmacists’ dispensing orders, including 48 cases of high warning drugs （67.60%）, 18（25.35%） in peak time of drug dispense, 5（7.04%） in adjacent placing, which were significantly lower than those in the control group （ P < 0.05）. Conclusion Using HIMSS stage 6 technology can reduce medication errors and ensure medication safety for children.
- HIMSS stage 6 technology,
- Children,
- Medication errors,
- Drug safety

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References(17)

References

[1]	董军. HIMSS从零到一[M]. 北京: 光明日报出版社, 2016: 126-130.
[2]	Dutton K,Hedger N,Wills S,et al. Prevent medication errors on admission[J]. Clinical Governance:An International Journal,2003,8(2):128-137. doi: 10.1108/14777270310471612
[3]	Teinila T,Kaunisvesi K,Airaksinen M. Primary care physicians perceptions of medication error and error prevention in cooperation with community pharmacists[J]. Res Social Adm Pharm,2011,7(2):162-179. doi: 10.1016/j.sapharm.2010.03.007
[4]	Aronson J K. Medication errors:Definitions and classification[J]. Br J Clin Pharmacol,2009,67(6):599-604. doi: 10.1111/j.1365-2125.2009.03415.x
[5]	Peth H A. Medication errors in the emergency department:A systems approach to minimizing risk[J]. Emerg Med Clin North Am,2003,21(1):141-158.
[6]	编著. 美国医疗机构评审国院联合委员会（美）, 主译郦忠, 蒋宋怡. 美国医疗机构评审国院联合委员会医院评审标准[M].北京: 中国协和医科大学出版社, 2017: 140-155.
[7]	何莉,代静,杨丽萍,等. 闭环式医嘱执行流程在临床护理工作中的运用[J]. 中国数字医学,2014,9(6):10-12. doi: 10.3969/j.issn.1673-7571.2014.06.004
[8]	尹凡. 医嘱全流程闭环管理系统研究与实现[D]. 杭州: 浙江大学硕士学位论文, 2017.
[9]	王小川,王晓玲,谢晓慧,等. 15家医院儿科常用药品说明书儿童用药信息调查分析[J]. 中国药学杂志,2015,50(16):1446-1450.
[10]	俞彩霞,金姬,王陈裕,等. 248种常用药品说明书中儿童用药信息的调查分析[J]. 中医药管理杂志,2019,27(13):46-48.
[11]	王雨来,张剑,卢振,等. 基于HIMSS 6级创建的用药闭环管理经验分享[J]. 中国药业,2016,25(12):74-76.
[12]	计虹. 基于信息技术的医嘱闭环管理方法研究[J]. 医疗卫生装备,2014,35(8):72-74.
[13]	张楠,闫阔,蔡泓敏,等. 基于HIMSS的药品闭环管理工作模式与实践效果分析[J]. 中国药事,2020,34(7):852-858.
[14]	柯敏,王雨来,李红桥. 基于HIMSS-7级标准的用药错误和接近失误分析[J]. 中国药业,2019,28(22):79-81. doi: 10.3969/j.issn.1006-4931.2019.22.029
[15]	赵娴,张青,鹿秀丽,等. 基于HIMSS EMRAM 7标准的合理用药系统建立与应用[J]. 中国卫生质量管理,2019,26(3):90-92.
[16]	王亚州. 基于HIMSS 6级评审的药品闭环管理系统和药学决策支持系统的建设[J]. 药学与临床研究,2019,27(3):233-236.
[17]	沈双双,施芳红,李浩,等. 应用HIMSS 6级标准构建药品追溯体系[J]. 中国卫生质量管理,2019,26(5):89-92.

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