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我院高危药品管理制度的建立及应用效果研究
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| 篇名： | 我院高危药品管理制度的建立及应用效果研究 |
| TITLE： | Establishment and Application Effect of High-risk Drug Management System in Our Hospital |
| 摘要： | 目的：为持续提高医院高危药品的管理水平提供参考。方法：以新疆医科大学第一附属医院（以下简称“我院”）为例，基于国际医疗卫生机构认证联合委员会（JCI）的认证标准，针对我院临床高危药品管理中存在的问题，建立高危药品管理制度，具体措施包括建立多智能体系药物管理系统，成立医院药事管理与药物治疗委员会，制定高危药品目录和全院统一的高危药品标识，完善高危药品存储方案，规范医师开具医嘱的行为，规范高危药品的审方、调配、配制、配送，规范高危药品的给药，并对高危药品进行系列规范化检查，根据效果进行持续优化。分别比较优化前（2016－2017年）和优化后（2018－2019年）药师对高危药品的认知水平（满分为10分，评分越高表明其认知水平越高）、护士对高危药品的管理达标率和药师处理高危药品的差错占比。结果：我院高危药品管理制度优化后，药师对高危药品的认知（包括药品目录、适应证、禁忌证、配置、审核5个方面）水平显著提高，上述5个方面的评分分别由优化前的（9.32±0.32）、（9.10±0.32）、（9.21±0.46）、（9.24±0.40）、（9.35±0.45）分提高到优化后的（9.90±0.10）、（9.90±0.14）、（9.90±0.10）、（9.90±0.10）、（9.85±0.15）分；护士对高危药品的管理达标率由95.25％提高至99.63％；药师处理高危药品的差错占比由10.31％（33/320）降至1.25％（1/80），以上差异均有统计学意义（P＜0.05）。结论：高危药品管理制度及流程的建立与持续优化，可降低差错处方中高危药品差错比例，促进高危药品的安全管理。 |
| ABSTRACT： | OBJECTIVE：To prov ide reference for continuously improving the management of high-risk drugs in hospitals. METHODS：Taking the First Affiliated Hospital of Xinjiang Medical University （called“our hospital ”for short ）as an example ， based on the Joint Commission Intemational （JCI）certification standard ，in order to solve the problems in the management of clinical high-risk drugs in our hospital ，high-risk drug management system was established. The specific measures included the establishment of a multi-intelligent system drug management system ，the establishment of hospital pharmaceutical administration and drug treatment committee ，the development of high-risk drug list and the hospital ’s unified high-risk drug logo ，the improvement of high-risk drug storage scheme ，the standardization of physician ’s behavior of issuing medical orders ，the standardization of high-risk drug review ，dispensing，preparation and distribution ，the standardization of high-risk drug delivery. A series of standardized tests were carried out for high risk drugs ，and continuous measure optimization was taken according to the effect. The pharmacist ’s awareness rate （full score was 10. The higher the score was ，the higher the cognitive level was ），nurse’s management compliance rate and pharmacist ’s prescription error rate of high-risk drugs were compared between before optimization （2016-2017）and after optimization （2018-2019）. RESULTS ：After the optimization of high-risk drug system in our hospital ，the pharmacist’s awareness rate of high-risk drugs increased significantly（including drug list ，indication，contraindications， dispensing and review ）；the scores of the above five aspects E-mail：357006530@qq.com were increased from （9.32±0.32），（9.10±0.32），（9.21±0.46），（9.24±0.40），（9.35±0.45）scores before optimization 4362634。 to（9.90±0.10），（9.90±0.14），（9.90±0.10），（9.90± 0.10），（9.85±0.15）scores after optimization ；prescription error rate of high-risk drugs dealed by pharmacists decreased from 10.31％（33/320）to 1.25％（1/80）；the nurse ’s management compliance rate of high-risk drugs increased from 95.25％ to 99.63％，with statistical significance （P＜0.05）. CONCLUSIONS ：The establishment and continuous optimization of high-risk drug management system and process can reduce the proportion of high-risk drug errors in error prescriptions and promote the safety management of high-risk drugs. |
| 期刊： | 2020年第31卷第15期 |
| 作者： | 拜年，高玉娟，胡琰婷，刘冰 |
| AUTHORS： | BAI Nian，GAO Yujuan ，HU Yanting ，LIU Bing |
| 关键字： | 用药安全；药品管理制度；高危药品；差错；应用效果；持续优化 |
| KEYWORDS： | Medication safety ；Drug management system ；High-risk drug ；Error；Application effect ；Continuous optimization |
| 阅读数： | 481 次 |
| 本月下载数： | 17 次 |
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