医疗机构麻醉药品专档管理及风险预警系统的构建和应用
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| 篇名: | 医疗机构麻醉药品专档管理及风险预警系统的构建和应用 |
| TITLE: | Construction and application of specialized file management and risk warning system for narcotic drugs in medical institutions |
| 摘要: | 目的 构建麻醉药品专档管理及风险预警系统,推动医疗机构麻醉药品精细化管理。方法通过合理用药系统,集成以患者为索引的麻醉药品用药档案信息,构建疼痛评估、剂量快速滴定模块,建立处方前置审核风险预警模型,并对系统构建前(2023年1-7月)和稳定运行后(2024年1-7月)患者退回药品数量、麻醉药品滥用相关不良事件干预数量、患者和医师满意度以及患者用药依从性进行统计分析。结果麻醉药品专档管理及风险预警系统构建后,除吗啡片外,患者退回的其他麻醉药品数量均较系统应用前减少。麻醉药品滥用相关不良事件的干预数量由0例增加为5例。患者疼痛控制满意度由46.25%提高到67.50%,依从性差的患者占比由23.75%降为7.50%,医师总体满意度为72.41%。结论麻醉药品专档管理及风险预警系统的构建,能够精细化管理麻醉药品,并对超常处方进行预警,减少患者麻醉药品囤积,及时发现和干预麻醉药品滥用相关不良事件,提高医师诊疗效率和治疗精准性,也提升了患者疼痛控制满意度和用药依从性。 |
| ABSTRACT: | OBJECTIVE To construct specialized file management and risk warning system for narcotic drugs, and promote the refined management of narcotic drugs in medical institutions. METHODS Through the rational medication management system, patient-indexed narcotic drug medication record information was integrated, pain assessment and rapid dose titration modules were constructed, and a prescription pre-review risk warning model was established. Statistical analysis was conducted on the number of drugs returned by patients, interventions for adverse events related to narcotic drug abuse, patient and physician satisfaction, and patient medication adherence before the system was constructed (January-July 2023) and after its stable operation (January-July 2024). RESULTS After the construction of the system, the number of narcotic drugs returned by patients decreased, except for Morphine tablets. The number of interventions for adverse events related to narcotic drug abuse increased from 0 to 5 cases. The patients’ satisfaction with pain control increased from 46.25% to 67.50%, the proportion of patients with poor adherence decreased from 23.75% to 7.50%, and the overall satisfaction of physicians was 72.41%. CONCLUSIONS The construction of a specialized file management and risk warning system for narcotic drugs enables refined management of narcotic drugs, provides alerts for abnormal prescriptions, reduces patient stockpiling of narcotic drugs, allows timely detection and intervention of adverse events related to narcotic drug abuse, improves physician treatment efficiency and precision, and enhances patient pain control satisfaction and medication adherence. |
| 期刊: | 2026年第37卷第01期 |
| 作者: | 唐平秀;杨强;张询研;袁琳 |
| AUTHORS: | TANG Pingxiu,YANG Qiang,ZHANG Xunyan,YUAN Lin |
| 关键字: | 医疗机构;麻醉药品;专档管理;风险预警;癌痛 |
| KEYWORDS: | medical institutions; narcotic drugs; specialized file management; risk warning; cancer pain |
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