当前位置：首页>课件>【不良事件分析课件】又一例护士给药错误不良事件,警钟长鸣——RCA 根因分析、风险剖析与系统整改对策

【不良事件分析课件】又一例护士给药错误不良事件,警钟长鸣——RCA 根因分析、风险剖析与系统整改对策

  • 2026-08-24 06:25:16
【不良事件分析课件】又一例护士给药错误不良事件,警钟长鸣——RCA 根因分析、风险剖析与系统整改对策

【不良事件分析课件】又一例护士给药错误不良事件，警钟长鸣——RCA 根因分析、风险剖析与系统整改对策
#RCA根因分析 #给药错误 #用药差错 #不良事件分析 #患者安全 #门诊药房 #药学质控 #四查十对 #鱼骨图分析 #PDCA持续改进 #药品标签管理 #用药交代 #药学不良事件 #医疗质量安全 #IDT决策树 #SCA严重度矩阵 #品管工具 #制度流程优化 #药师培训 #用药安全管理 #医疗质控汇报 #风险防控 #非惩罚性上报 #药房质量管理 #药学业务学习

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  1. CONNECT:[ UseTime:0.001193s ] mysql:host=127.0.0.1;port=3306;dbname=a_sjds;charset=utf8mb4
  2. SHOW FULL COLUMNS FROM `fenlei` [ RunTime:0.001969s ]
  3. SELECT * FROM `fenlei` WHERE `fid` = 0 [ RunTime:0.000798s ]
  4. SELECT * FROM `fenlei` WHERE `fid` = 63 [ RunTime:0.000710s ]
  5. SHOW FULL COLUMNS FROM `set` [ RunTime:0.001689s ]
  6. SELECT * FROM `set` [ RunTime:0.000638s ]
  7. SHOW FULL COLUMNS FROM `article` [ RunTime:0.001844s ]
  8. SELECT * FROM `article` WHERE `id` = 526641 LIMIT 1 [ RunTime:0.001062s ]
  9. UPDATE `article` SET `lasttime` = 1787563795 WHERE `id` = 526641 [ RunTime:0.042682s ]
  10. SELECT * FROM `fenlei` WHERE `id` = 66 LIMIT 1 [ RunTime:0.004747s ]
  11. SELECT * FROM `article` WHERE `id` < 526641 ORDER BY `id` DESC LIMIT 1 [ RunTime:0.001301s ]
  12. SELECT * FROM `article` WHERE `id` > 526641 ORDER BY `id` ASC LIMIT 1 [ RunTime:0.002297s ]
  13. SELECT * FROM `article` WHERE `id` < 526641 ORDER BY `id` DESC LIMIT 10 [ RunTime:0.023655s ]
  14. SELECT * FROM `article` WHERE `id` < 526641 ORDER BY `id` DESC LIMIT 10,10 [ RunTime:0.012362s ]
  15. SELECT * FROM `article` WHERE `id` < 526641 ORDER BY `id` DESC LIMIT 20,10 [ RunTime:0.090337s ]
0.349075s