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河南省洛阳正骨医院/河南省骨科医院静脉用药调配中心,河南 洛阳 471002
Received:21 November 2024,
Revised:2025-04-26,
Accepted:06 May 2025,
Published:30 May 2025
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陈洁,有曼,曹鹏飞,等.住院患者输液安全的药学管理实践创新 [J].中国药房,2025,36(10):1238-1242.
CHEN Jie,YOU Man,CAO Pengfei,et al.Practice innovation in pharmaceutical management for infusion safety in hospitalized patients[J].ZHONGGUO YAOFANG,2025,36(10):1238-1242.
陈洁,有曼,曹鹏飞,等.住院患者输液安全的药学管理实践创新 [J].中国药房,2025,36(10):1238-1242. DOI: 10.6039/j.issn.1001-0408.2025.10.15.
CHEN Jie,YOU Man,CAO Pengfei,et al.Practice innovation in pharmaceutical management for infusion safety in hospitalized patients[J].ZHONGGUO YAOFANG,2025,36(10):1238-1242. DOI: 10.6039/j.issn.1001-0408.2025.10.15.
目的
2
建立住院患者输液安全药学管理模式,保证患者用药安全。
方法
2
我院通过创建输液方案规范化管理流程,建立配伍禁忌规则,并采用医院公众号内嵌的形式,将药师制定好的输液方案和用药指导微信推送至住院患者手机端,为患者提供电子化用药指导服务,形成住院患者输液安全药学管理模式。
结果
2
截至2023年12月,我院共为45 291例住院患者提供个体化输液方案的定制、微信推送输液方案与用药指导等药学服务。该管理模式实施后,住院患者长期医嘱组间配伍禁忌的药师干预率从实施前的18.25%提高到了90.58%(
P
<0.01),住院患者的满意度从实施前的87.50%提高到了94.50%(
P
<0.05)。
结论
2
住院患者输液安全药学管理模式将药学服务贯穿于静脉用药治疗的全过程,药师在提供合格成品输液的同时,可参与到输液的使用管理中,实现药学服务的闭环管理,提高了医院药学服务能力与患者满意度,为患者用药的安全性与有效性提供了保障。
OBJECTIVE
2
To establish a pharmaceutical management model for infusion safety in hospitalized inpatients and ensure the safety of drug use.
METHODS
2
Our hospital established the standardized management process for infusion scheme, formulated rules for compatibility contraindications in drug combinations. In the form of embedded hospital official account
the infusion scheme and medication guidance WeChat developed by pharmacists are pushed to the mobile phone of inpatients
providing electronic medication guidance services for patients
and forming a pharmaceutical management model for infusion safety of inpatients.
RESULTS
2
Our hospital provided a total of 45 291 inpatients with pharmaceutical services including the formulation of individualized infusion scheme and WeChat push infusion scheme and medication guidance as of December 2023. After the implementation of the management model, the intervention rate of pharmacists on the compatibility contraindications in drug combination of long-term medical orders for inpatients increased from 18.25% before implementation to 90.58% (
P
<0.01), and the satisfaction rate of inpatients increased from 87.50% to 94.50% (
P
<0.05).
CONCLUSIONS
2
The pharmaceutical management model for infusion safety of hospitalized patients integrates pharmaceutical services throughout the entire process of intravenous medication treatment. Pharmacists can participate in the management of infusion usage while providing qualified finished infusion products
achieving closed-loop management of pharmaceutical services
improving the hospital’s pharmaceutical service capabilities and patient satisfaction
and providing guarantees for the safety and effectiveness of patient medication.
刘高峰 , 陈孝 , 张毕奎 , 等 . 中国医院药学学科的建设与发展 [J ] . 中国药学杂志 , 2023 , 58 ( 22 ): 1993 - 2015 .
国家药品监督管理局 . 国家药品不良反应监测年度报告:2023 [EB/OL ] .( 2024-03-26 )[ 2024-07-08 ] . https://www.cdr-adr.org.cn/drug_1/aqjs_1/drug_aqjs_sjbg/202403/t2024-0326_50614.html https://www.cdr-adr.org.cn/drug_1/aqjs_1/drug_aqjs_sjbg/202403/t2024-0326_50614.html .
国家卫生健康委办公厅 . 国家卫生健康委办公厅关于印发2023年国家医疗质量安全改进目标的通知 [EB/OL ] .( 2023-02-24 )[ 2024-07-08 ] . https://www.nhc.gov.cn/yzygj/s7657/202302/a61fc382f3b64c7e99dafbf8cf4da8al.shtml https://www.nhc.gov.cn/yzygj/s7657/202302/a61fc382f3b64c7e99dafbf8cf4da8al.shtml .
国家卫生健康委办公厅 . 国家卫生健康委办公厅关于印发2022年国家医疗质量安全改进目标的通知 [EB/OL ] .( 2022-03-01 )[ 2024-07-08 ] . https://www.nhc.gov.cn/yzygj/s3585/202203/ffed3474b1884058841a07c144ad094e.shtml https://www.nhc.gov.cn/yzygj/s3585/202203/ffed3474b1884058841a07c144ad094e.shtml .
国家卫生健康委办公厅 . 国家卫生健康委办公厅关于印发2021年国家医疗质量安全改进目标的通知 [EB/OL ] .( 2021-02-09 )[ 2024-07-08 ] . http://www.gov.cn/zhengce/zhengceku/2021-02/22/content_5588240.htm http://www.gov.cn/zhengce/zhengceku/2021-02/22/content_5588240.htm .
郑珊珊 , 李建涛 , 许云晶 , 等 . 传统药学服务与“互联网+药学服务” 中的用药指导现状及患者需求分析 [J ] . 中国药学杂志 , 2022 , 57 ( 11 ): 955 - 960 .
周赛 , 马红丽 , 阮文珍 . 基于信息化构建的静脉安全用药管理模式的应用研究 [J ] . 中国全科医学 , 2020 , 23 ( 24 ): 3064 - 3069 .
李学林 , 李伟霞 , 赵娅 , 等 . 丹红注射液与胞磷胆碱钠注射液在2种常用溶媒中的配伍稳定性 [J ] . 中国实验方剂学杂志 , 2017 , 23 ( 3 ): 6 - 9 .
有曼 , 何广宏 , 张虹 , 等 . JCI和HIMSS双重理念下药师主导静脉输液方案管理模式的探索与实践 [J ] . 中南药学 , 2021 , 19 ( 5 ): 990 - 995 .
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