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    3 1 - 2551

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    - Adverse Drug Reaction - - -

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    ().. 2550 - 2552

    ThaiHP Newsletter Vol.3 [1]

    :

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    .. 20

    2551 15 14 25,204,249.37 35 1,074 6,909,224.57

    18,295,024.80 15 Diacerein 50 mg osteoarthritis 17 7 49,800 1,642,902 7 159 24,680 74 Osteoarthritis 85

    levocetirizine 5 mg 6 289 482 28,239 59 6.94 . 2.5-5

    /

    ...

    ThaiHP Newsletter Vol.3 [2]

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    HA National Forum 11 ()

    18 1. 1.1 1.2

    ( : )

    2. 2.1 Prescribing error

    2.2 Transribing error2.3 Pre dispendsing error

    2.4 Dispendsing error 2.5 Pre administration error2.6 Administration error

    3. 3.1 3.2

    4. 4.1 4.2

    18 ( )

    18

    ThaiHP Newsletter Vol.3 [3]

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    WHO Collaborating Centre for Patient

    Safety Solutions

    .

    HA National Forum 4 1. Control of concentrated electrolyte solutions

    2. Improved the safety of High-Alert Drug 3. Look-Alike Sound-Alike Medication Names (LASA) 4. Assuring Medication Accuracy at transition in Care

    Control of concentrated electrolyte solutions

    1. KCl

    2. KCI 3. electrolyte

    4. KCI

    5. ( )

    6.

    checklist , , 7. 8. infusion pump infusion pump

    9.

    10.

    Improved the safety of High-Alert Drug1. , preprinted order forms, clinicalpathways protocols

    anticoagulation services , protocols, ow sheets protocols 2.

    parameter, protocols, ow sheet double-checks 3. protocols (reversalagents) antidotes (reversalagents) (rescue protocols)Look-Alike Sound-Alike Medication Names(LASA)

    1. (LASA) ) (LASA)

    ThaiHP Newsletter Vol.3 [4]

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    ) (clinical protocol)

    )

    (Tall Man Letter) ) )

    MAR (Medication AdministrationRecord) ) )

    2.

    3.

    Assuring Medication Accuracy at transition in Care 1. (, /, ,

    OPD) 2.

    ( )

    (reconciliation)

    ( 24 / ) medication reconciliation

    3. medication reconcilia-

    tion

    ThaiHP Newsletter Vol.3 [5]

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    Patient Safety Patient Safety WHO

    (Global Patient Safety Challenge) Patient Safety Patient Safety

    Patient Safety

    (Patient Safety Solution PSS) Patient Safety Solution5

    7 5 High 5s Patient Safety Solution PSG

    SIMPLE Patient Safety Goals

    S = Safe Surgery (2nd Global patient Safety Challenge)I = Infection Control (Clean Care 1st Patient Safety Challenge)M= Medication SafetyP = Patient Care Process

    L = Line, Tube, CatheterE = Emergency Response

    ThaiHP Newsletter Vol.3 [6]

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    oral presentation 2551

    , .. , , .. , , .., , ..

    2551 ()

    Integration of Pharmacy Service for Patient Safety

    21 - 23 .. 2551

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    Poster presentation 2551: , .., , .., , ..

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    ThaiHP Newsletter Vol.3 [9]

    700

    3 Patient Safety Medica-tion Safety

    20 . 25 .. 1 .. 51

    6

    Reaccreditation

    .

    :.

    ... . . :. :... .

    . ...

    .. . . :.


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