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住院患者输液安全的药学管理实践创新
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| 篇名： | 住院患者输液安全的药学管理实践创新 |
| TITLE： | Practice innovation in pharmaceutical management for infusion safety in hospitalized patients |
| 摘要： | 目的 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。结果截至2023年12月，我院共为45291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。 |
| ABSTRACT： | OBJECTIVE To establish a pharmaceutical management model for infusion safety in hospitalized inpatients and ensure the safety of drug use. METHODS 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 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 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. |
| 期刊： | 2025年第36卷第10期 |
| 作者： | 陈洁；有曼；曹鹏飞；邰文凤；孟璐；张虹；何广宏 |
| AUTHORS： | CHEN Jie，YOU Man，CAO Pengfei，TAI Wenfeng，MENG Lu，ZHANG Hong，HE Guanghong |
| 关键字： | 输液安全；输液方案；微信推送；用药指导；住院患者 |
| KEYWORDS： | infusion safety； infusion scheme； WeChat push； medication guidance； hospitalized inpatients |
| 阅读数： | 6 次 |
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