我院药师在降低儿科门/急诊静脉输液率中的综合干预实践
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篇名: 我院药师在降低儿科门/急诊静脉输液率中的综合干预实践
TITLE:
摘要: 目的:为降低儿科门/急诊静脉输液率、提高儿童用药安全提供参考。方法:介绍我院药师通过采取包括人员教育培训、制度建设管理和多方监测干预在内的各项措施,综合干预我院儿科门/急诊静脉输液率的情况;选取干预前(2018年1-6月)、干预后(2018年7-12月)儿科门/急诊静脉输液率、抗菌药物静脉输液率、静脉输液处方率、抗菌药物静脉输液处方率,以及输液处方中抗菌药物、中药注射剂、辅助药品、重点监控药品消耗的总金额等指标的相关数据以评价干预效果。结果:采取综合干预措施后,我院儿科门/急诊静脉输液相关指标大幅度下降,静脉输液率、抗菌药物静脉输液率、静脉输液处方率、抗菌药物静脉输液处方率分别由干预前的19.52%、15.46%、20.29%、11.20%下降至10.37%、8.55%、10.25%、6.64%(P均<0.001),输液处方中抗菌药物、中药注射剂、辅助药品、重点监控药品消耗的总金额均降低(P均<0.001)。结论:我院药师采取的综合干预措施,有效降低了儿科门/急诊静脉输液率,减少了医疗成本,促进了儿童用药安全。
ABSTRACT: OBJECTIVE: To provide reference for reducing the rate of outpatient/emergency intravenous infusion in paediatric and improving the safety of drug use in children. METHODS: The comprehensive intervention of outpatient/emergency intravenous infusion in paediatric by pharmacists of our hospital though multiple measures was introduced, such as education training, system construction and management, multi-party monitoring and intervention. Related data were selected before (Jan-Jun. 2018) and after intervention (Jul.-Dec. 2018) to evaluate intervention effects, involving paediatric outpatient/emergency intravenous infusion rate, antibiotics intravenous infusion rate, the rate of intravenous infusion prescription, total cost of antibiotics, TCM injection, adjunctive drugs and key monitoring drugs in infusion prescriptions. RESULTS: Through the comprehensive intervention of pharmacists, related indexes of outpatient/emergency intravenous infusion in paediatric were decreased greatly in our hospital. The rate of intravenous infusion, the rate of antibiotics intravenous infusion, the rate of intravenous infusion prescription and the rate of antibiotics intravenous infusion prescription were decreased from 19.52%, 15.46%, 20.29%, 11.20% to 10.37%, 8.55%, 10.25%, 6.64%(P<0.001), respectively. Total cost of antibiotics, TCM injection, adjunctive drug and key monitoring drug were decreased respectively in infusion prescriptions (P<0.001). CONCLUSIONS: The comprehensive intervention measures taken by pharmacists in our hospital can reduce the rate of outpatient/emergency intravenous infusion in paediatric and the medical cost, and promote the safety of drug use in children.
期刊: 2019年第30卷第19期
作者: 刘丽英,舒健,文伟,李小兰,陈春连,刘康
AUTHORS: LIU Liying,SHU Jian,WEN Wei,LI Xiaolan,CHEN Chunlian,LIU Kang
关键字: 药师;综合干预;儿科;门/急诊;静脉输液率
KEYWORDS: Pharmacist; Comprehensive intervention; Paediatric; Outpatient/emergency; Rate of intravenous infusion
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