基于追踪方法学的高危药品管理评审评价体系的应用效果分析

发布时间：2018-04-15 11:24

本文选题：追踪方法学 + 高危药品　；参考：《中国药房》2017年04期

【摘要】：目的:探讨追踪方法学在医院高危药品管理持续改进中的应用及可行性,提升医院高危药品管理质量,保障临床用药安全。方法:根据追踪方法学的理论与要求,描述我院在高危药品管理方面采取的一系列干预措施,通过比较运用追踪方法学前后医护人员对高危药品知识掌握程度、医院高危药品评审评价结果以及不良事件发生率的变化,评价追踪方法学对高危药品管理的改进效果。结果:通过采取精简高危药品目录、对医务人员进行高危药品培训等干预措施后,与管理前比较,医务人员对高危药品知识的掌握程度提高(平均知晓率从69.6%提高至88.5%)、高危药品的评审评价结果显著改善(评价结果为合格级及以上者占比由66.67%提升至88.89%)、高危药品的不良事件发生率降低(由0.321%降低至0.139%)。结论:追踪方法学对我院高危药品管理的改进效果显著,具有较强的可行性,可在医院高危药品管理工作中推广使用。
[Abstract]:Objective: to explore the application and feasibility of tracing methodology in the continuous improvement of hospital high risk drug management, to improve the quality of hospital high risk drug management and to ensure the safety of clinical drug use.Methods: according to the theory and requirement of tracing methodology, a series of intervention measures in high risk drug management in our hospital were described, and the degree of knowledge of high risk drugs was compared before and after the application of tracing methodology.The evaluation results of high-risk drugs and the incidence of adverse events in hospitals. The effectiveness of evaluation and tracking methodology in the management of high-risk drugs.Results: after taking intervention measures such as simplifying the catalogue of high risk drugs and training medical personnel on high risk drugs, the results were compared with those before management.Medical staff's knowledge of high-risk drugs increased (average awareness rate increased from 69.6% to 88.5%; evaluation and evaluation of high-risk drugs improved significantly (percentage of those with qualified grade and above increased from 66.67% to 88.89%); high risk drugs increased from 66.67% to 88.89%; proportion of high risk drugs increased from 66.67% to 88.89%; rate of high risk drugs increased from 66.67% to 88.89%;The incidence of adverse events decreased from 0.321% to 0.139%.Conclusion: the method of tracing is effective and feasible to improve the management of high risk drugs in our hospital. It can be popularized and used in high risk drug management in hospital.
【作者单位】：深圳市福田区人民医院药学部;清华大学医院管理研究院;
【基金】：深圳市福田区卫生公益性科研项目(No.FTWS2015016)
【分类号】：R95

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