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首页> 外文期刊>The Australian Journal of Pharmacy >Eliminating potassium chloride
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Eliminating potassium chloride

机译：消除氯化钾

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摘要

THE importance of medication safety, while long recognised by healthcare practitioners involved in any aspect of medication management, was underlined when in 1995 the Australian Quality in Health Care Study (AQHGS) was released to an incredulous Australian public, who learned for the first time that 16.6 per cent of patients in hospital were involved in injuries and complications arising from their treatment.Many of these incidents involved medications and it was realised that no matter how conscientious, careful and experienced individual practitioners were, the potential for human error existed.Unfortunately, it used to be the case that when an error occurred, the focus of any subsequent action was on who was to blame. However, there has been a maturing within the healthcare system. Now, ascertaining who was involved and who was to blame is seen as being far less important than discovering what, why and how it went wrong and what could be done to minimise the risk of any similar future occurrence.
机译：早在1995年，《澳大利亚医疗质量研究》（AQHGS）发行给了一个难以置信的澳大利亚公众，这突显了药物安全的重要性，这一点早已被从事药物管理各个方面的医疗从业者所认识，但这一点却首次得到了强调。住院患者中有16.6％的患者因治疗而受伤或并发症，其中许多事件涉及药物治疗，人们意识到，无论从业者多么认真，谨慎和经验丰富，都存在人为错误的可能性。过去经常发生这样的情况：当发生错误时，任何后续操作的重点都应该归咎于谁。但是，医疗保健系统已经日趋成熟。现在，确定谁牵涉到谁以及应该归咎于谁，远比发现什么，为什么以及如何出错以及可以采取什么措施来最大程度降低未来发生类似事件的风险要重要得多。

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