門診給藥流程醫療失效模式與效應分析

Security of Drugs in Outpatient Services for Healthcare Failure Mode and Effects Analysis

提升醫療品質已成為趨勢的現在，近年來最重要的醫療品質議題為病人安全。IOM出版之「To Err is Human」中估計，每年死於醫療疏失人數約在44,000人至98,000人左右，其中因醫療不良事件發生損失約170億至290億美元，而用藥疏失的部分就佔了9%，因此本研究運用模糊TOPSIS法於醫療模式與效應分析給要作業流程、進行HFMEA風險的評估，找出在門診用藥安全危害的病人安全的重要風險因子，研究結果可供各醫院在門診用藥流程管理時做參考。

From data of IOM, there were about 44 thousand to 98 thousand of people died in medical malpractice, so security of Drugs became one of important issue related to healthy care. In this study the ethods of althcare Failure Mode and Effects Analysis (HFMEA) was discussed. The result of this study can be references when hospital managing Security of Drugs in Outpatient Service the safety of patients.