[摘要] 总结住院患者常见用药安全问题，系统分析引起用药安全问题的5大因素：工作责任心不强、药理知识缺乏、医护配合不协调、健康宣教不到位以及注意力不集中。针对具体原因采取相应的干预措施：严格执行三查七对、加强工作责任心、加强药理知识的学习、加强医护人员的配合、及时有效地开展健康宣教，以及开展弹性排班制度。通过运用现代化的管理技术和策略，严格按操作流程工作，可将用药差错的发生率降到最低，避免给患者造成伤害。

    [关键词] 住院患者；用药安全；综合干预

    [中图分类号] R472   [文献标识码] B   [文章编号] 2095-0616(2014)08-147-03

    Medication safety issues and comprehensive intervention of inpatients

    LI Jieping

    Department of Integrative Medicine, Affiliated Yantai Yuhuangding Hospital of Qingdao University Medical College, Yantai 264000, China

    [Abstract] To summarize the common medication issues of inpatients and analyze 5 major factors leading to the medication issues systematically, including poor sense of work responsibility, lack of pharmacological knowledge, discordant coordination between doctors and nurses, inadequacy of health education and inattention. Corresponding intervention measures were taken directing at specific reasons, including strict enforcement of three investigations and verifications, strengthening sense of work responsibility, enhancing learning of pharmacological knowledge, enhancing doctor-nurse coordination, implementing health education timely and effectively and implementing flexible scheduling system. The application of modern management techniques and strategies and the strict compliance of operation procedures can reduce the incidence of medication errors to a minimum and avoid harming patients. ......