新型冠状病毒感染应对:基于药品、物资供应与应急管理的防控策略
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篇名: 新型冠状病毒感染应对:基于药品、物资供应与应急管理的防控策略
TITLE: Novel Coronavirus Infection Response :Prevention and Control Strategies Based on Drug ,Material Supply and Emergency Management
摘要: 目的:为医院药学人员应对新型冠状病毒(严重急性呼吸综合征冠状病毒2,SARS-CoV-2)感染做好药品、物资供应与应急管理工作提供参考。方法:应用5M1E分析法对疫情防控中药品、物资供应与应急管理所涉及的人员、设备、材料、方法、环境、监测等6个主要影响因素进行分析,并提出相应防控策略。结果与结论:在疫情防控的药品、物资供应与应急管理中,主要涉及以医疗机构药学部门药学技术人员为主的人员因素,同时涉及药品贮存、清洁消毒等设备因素,应急药品、消毒产品、体外诊断试剂、应急医疗队药品物资、试验用药品等材料因素,相关管理措施等方法因素,贮存环境和设施等环境因素以及用药情况、药品和物资储备情况等监测因素。针对上述因素,建议加强药学技术人员的专业知识、沟通技巧培训,并加强人文关怀,以提升其岗位胜任、沟通应急处置和心理承受能力;加强设备物资管理,做好设备维护与消毒,以保证设备的正常使用;按循证方法制订应急药品目录,根据消毒防护要求合理选择消毒产品并保证其质量和足量库存,及时采购合格的体外诊断试剂,遵循临床试验相关规范合理管理试验用药品,保障应急医疗队员的药品和物资供应;制订应急预案和标准操作规程,遵循同情用药原则,并做好超说明书用药管理以及药品和物资短缺预警;预留合理的贮存空间,加强环境监控与消毒;加强日常数据的监控与上报,加强质量监控,并接受第三方独立审计。上述策略可有助于药学部门提高药品供给风险识别与应对能力,配合医疗团队开展救治工作。
ABSTRACT: OBJECTIVE:To provide drug ,material supp ly and emergency management reference for novel coronavirus (SARS-CoV-2)infection in pharmacy staff in hospital. METHODS :The method of 5M1E was used to analyze the six main factors,including man ,machine,material,method,environment and measurement of drug ,material supply and emergency management. The relevant prevention and control strategies were put forward. RESULTS & CONCLUSIONS :In the drug ,material supply and emergency management of epidemic prevention and control ,the man factors were involved ,such as mainly pharmacists from pharmacy departments of medical institutions. At the same time ,the management also involved machine factors such as drug storage,cleaning and disinfection ;material factors such as emergency drugs ,disinfection products ,in vitro diagnostic reagents , the guarantee of medicine materials for medical team ,investigational products ;methods factors such as relevant management measures;environmental factors such as storage environment and facilities ;measurement factors such as drug use ,drug and substance reserve. In view of the above factors ,it is suggested to strengthen the professional knowledge and communication skills training of pharmacists ,and strengthen humanistic care ,so as to improve their post competency ,communication in emergency response and psychological tolerance. Equipment and materials management shall be strengthened ,and equipment maintenance and disinfection shall be done well to ensure normal use of equipment. According to the evidence-based method ,the emergency drug list should be established. According to the disinfection protection requirements ,the disinfection products should be reasonably selected and their quality and sufficient inventory should be ensured. The qualified in vitro diagnostic reagents should be purchased in time. The investigational products should be managed reasonably according to the relevant requirements of clinical trials ,to ensure the drug and material supply of medical team members. Emergency plans and standard operating procedures shall be formulated,the principle of sympathetic drug use shall be followed ,and the management of off-label drug use and early warning of drug and material shortage shall be done well. Reasonable storage space should be reserved to strengthen environmental monitoring and disinfection. We should strengthen the monitoring and reporting of daily data ,strengthen the quality monitoring , and accept the independent audit of the third party. Above strategies are helpful to improve the ability of drug supply risk identification and response ability ,and cooperate with the medical team to timely rescue patients.
期刊: 2020年第31卷第05期
作者: 杨丽,徐晓涵,陈晨,杨光,陈利华,何晓洁,杨毅恒,翟所迪,赵荣生
AUTHORS: YANG Li,XU Xiaohan,CHEN Chen,YANG Guang,CHEN Lihua,HE Xiaojie,YANG Yiheng,ZHAI Suodi,ZHAO Rongsheng
关键字: 新型冠状病毒;严重急性呼吸综合征冠状病毒2;药品供应;5M1E分析法;应急管理;防控策略
KEYWORDS: Novel coronavirus ;SARS-CoV-2;Drug supply ;5M1E analysis method ;Emergency management ;Preventive and
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