A clinic in Hong Kong happens " Send medicine by mistake " Incident Diabetic medicine is mixed with hypotensor
According to Hong Kong Wen Hui Daily, Tsuen Wan Mrs. Trench, David clinic of Hong Kong " sends medicine by mistake " The incident, 10 packs of diabetic medicines packed in advance are mixed with hypotensor at least. Medicine is in charge of office's verifying, a pack of medicines among them mix 16 grains of hypotensor even more. Have 59 people change dressings already in the 63 influenced patient, the others arrange for and change dressings to tomorrow, it is uncomfortable that there is no patient to appear temporarily.
The patient organizes criticizing and curing and managing a numerous groups of the office of medicines by mistake resolutly. Medicine is in charge of office's acknowledging the incident involves the human error, and apologize to the influenced patient, the presidents of this office Hu DingXu says, considers to making a mistake the staff punish to have alert picking punishment and include dismissings.
Medicine is in charge of office president Hu DingXu's admitting on the 18th, Mrs. Trench, David of Tsuen Wan clinic sends medicine incident to involve the human error by mistake, mean the incident is disappointing and regrets. The office side pays close attention to the incident very much, has already convened all druggists to go to the general headquarters to have a meeting, find out the current mechanism is insufficient and needs the place improved.
In addition, cure and is in charge of the office and has not explained so far how many famous making a mistake and punishment schemes of staff are involved this time in detail, Hu DingXu only responds and claims that it is sure to have vigilance to punish, when questioning and following the private system of medical organization and dismissing the staff and will make a mistake, he says: "Anything will be considered. "
Food and Liang ZhuoWei, Deputy Bureau Director of health bureau, mean that making a mistake this time can't accept, but for being fair to the staff, will understand first the incident is just dealt with according to the set procedure. He says, all influenced patients are all in good health, is " big good fortune in the misfortune " ,And hope front staff work diligently. In charge of office criticize as to medicine greedy to must buy former the intersection of factory and medicine too much while being flat, but because pill list the intersection of medicine and name, easier to be obscured, Liang ZhuoWei says, pill size and color depend on different nature and drug effect, belong to the professional category, the reason is unsuitable to summarize and stipulate the unity specification.
The well-informed person says, 7 network altogether 26 people such as the hospital executive and many an advanced persons who made up a prescription,etc. and have a meeting and discuss that improved the countermeasure yesterday, the work of the medicine is guided, reported to and staff's personal integrity is inspected from dealing with. At the meeting, medicine is in charge of office's networking and serving director Zhang WeiLin and reminding the staff too want more carefully and pacify staff's mood while dealing with the medicine.
The association of pharmacists of hospital that the share participates in the meeting educates director Cui JunMing to say, ordinary the intersection of department and clinic stingy and inadequate in people at present, deal with and exceed one thousand kinds of medicines at least every day, persons who make up a prescription of the dispensary should be also as accepting the goods, assigning to work such as medicine, is too busy to attend to anything else at a lot of o'clock, the intersection of hypotensor and ground in the times of incident the intersection of sulphur and the intersection of the tenth of the twelve Earthly Branches and Qian and diabetic the intersection of medicine and dose it ranks benzene to be all pale, oval pills nowadays, appearance is similar, after the medicine is sent to hospital and clinic, the persons who make up a prescription need to break the packaging, divide by mistake the risk of medicine is very high. He, already to cure, in charge of office get 3 loud improvement suggestions out of, in order to lower the chance of making mistakes.
Medicine in charge of office take off, send the intersection of medicine and accident by mistake again, patient the intersection of mutual-aid organization and Zhang De, president of alliance, like to criticize, office side make mistakes and go against accepted conventions four times three times, endanger at most with long-term disease patient and elder particularly, because its alertness is relatively low, it is difficult to perceive medicines are adjusted messily. Hope medicine is in charge of office's improving and punishing.
Zhang DeXi thinks again, it is a publicly-owned organization that medicine is in charge of the office, uses civil servant's mechanism, even if staff make mistakes, do, warn, freeze two years such as firewood just too seriously most while being oral only while being common most, it is too light to punish the mechanism. He advises the office side to examine the system, including considering introducing the private organization's system, if make a mistake seriously the staff may be unemployed.
President Cai Jian warns before the medical association, the diabetes patient may cause the serious consequence even if only take a grain of hypotensor by mistake: "The patient has nothing serious now, it is lucky completely, if the patient does not have hypertension or blood pressure already on the low side, food many 1 the intersection of blood pressure and medicine with fatal. "
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