I am an intern in the pharmacy department of the hospital and want to write my graduation thesis. Now that the paper is written, it shows that I know how to write the topic. Can everyone help me? Thank you, Bai Le. The causes and countermeasures of hospital pharmacy errors and accidents are an important window for hospitals to serve the society. How to improve service quality, reduce and eliminate dispensing errors and ensure the safety and effectiveness of patients' medication is a problem worthy of consideration and attention by every pharmacist. The author makes the following discussion on the causes and preventive measures of pharmacy errors. 1 Cause analysis 1. 1 Unfamiliar business technology. At present, China's pharmaceutical industry is developing at a high speed, new drugs are emerging one after another, and drug knowledge is constantly updated. Correspondingly, pharmacists are consumed by a lot of complicated and trivial daily dispensing work, and they don't know much about the names, properties, functions and even packaging of various drugs, and they don't have a deep understanding of the same drug with the same name, different drugs with the same name, and one drug with multiple drugs, which leads to mistakes in dispensing drugs to patients and even misleading medication. 1.2 doctor's prescription is wrong, the prescription is scribbled, the writing content is vague, and the Latin or English drug name is wrong or irregular [1]. The dosage form of the drug is not specified, and only the chemical name or trade name and generic name of the drug are specified in the prescription, but the dosage form used is not clearly written. Abuse, vague usage, repeated use of antibiotics, etc. 1.3 adjustment error The adjustment personnel have a weak sense of responsibility and lack of concentration. They chatted while handing out medicine, and as a result, they gave the wrong medicine. The variety of drugs is wrong, such as: Dibazole becomes Tabazol, and Indomethacin becomes Indomethacin; The number of drugs is more or less; If the dosage form is wrong, make the injection into tablets; Incorrect specifications, such as Novolin, regular and mixed, refills and non-refills; The wrong medicine was issued because the outer packaging was similar. 1.4 The correct deployment procedure for not following the deployment procedure should be: after receiving the prescription, the pharmacist should first review whether the prescription is standardized, and confirm whether the diagnosis is consistent with the medication, whether there are contraindications and adverse reactions; Check whether the charging items in the computer are consistent with the doctor's prescription and whether the price is consistent; After correct preparation, give the drug to the patient, and explain the administration method and precautions. 2 Countermeasures 2. 1 Strengthen pharmacy management and hospital supervision, establish and improve hospital supervision and management system, strengthen pharmacy management, and strictly implement the Drug Administration Law to ensure drug quality. Establish a standardized dispensing operation process, implement the system of receiving and distributing drugs [2] implement various work rules and regulations, improve the post responsibilities of pharmaceutical personnel, be responsible, have power, benefit the people, have strict labor discipline, be clear about rewards and punishments, give full play to the enthusiasm of pharmaceutical personnel and improve work efficiency. 2.2 The placement and storage of drugs should be scientific and reasonable. The mode of drugs should be conducive to the deployment of drugs. Drugs can be classified alphabetically in Chinese and English, or by pharmacological action system, or by preparation form. Only trained and authorized pharmaceutical personnel are allowed to stack drugs on the drug shelves, and ensure that the drugs strictly correspond to the labels on the shelves. Drugs with the same name but different specifications are packaged separately; Drugs with similar packaging or similar pronunciation are packaged separately; Eye-catching warning labels can be attached to the positions where drugs are easy to make mistakes, which is convenient for pharmacists to pay attention to when preparing. 2.3 strengthen the sense of responsibility, attach importance to the safety of drug treatment, strengthen the professional ethics education of pharmaceutical personnel, enhance the sense of responsibility of pharmaceutical personnel, and establish the spirit of dedication and Excellence [3]. When dispensing prescriptions, do "four checks and ten pairs", concentrate, don't chat with people, and carefully check the preface, text and signature of prescriptions. Pharmacy drugs should be checked by two people and signed by two people to avoid the mistakes that often occur when one person distributes drugs. Explain clearly to patients, especially the elderly and infants, and write clearly the usage, dosage, adverse reactions and storage methods of drugs to ensure the safety of patients. 2.4 Organize pharmaceutical personnel to participate in training and continuing education, and require pharmaceutical personnel to study and work hard, expand their knowledge, master more updated pharmaceutical technology and related knowledge, and improve quality pharmaceutical services. Regularly carry out training and notification activities on basic medical knowledge, new drug knowledge and clinical medical information. , broaden knowledge, promote knowledge update, and gradually improve the professional level of outpatient drug dispensing personnel. References [1] Zhu Bede, Annie Zhuang, Xu Fangfang, et al. Analysis and countermeasures of hospital prescription errors [J]. Pharmaceutical Service and Research, 2004,4 (1): 4. [2] Cai Nengwei, Zhong, Prevention of dispensing errors in outpatient pharmacy [J]. Wang Yuping, et al. Error-prone links and preventive measures in dispensing of outpatient pharmacy [J]. chinese pharmaceutical affairs, 2003, 17(6):367.