MTP模式干预门诊过度输液的策略初探  

A preliminary study on MTP mode in the control of excessive outpatient infusions

作　　者：李伟煊[1] 莫迪威 雷露雯[1] 曾旺焕 

机构地区：[1]南方医科大学附属南海医院,广东佛山528200 [2]广东省佛山市顺德区妇幼保健院,广东佛山528300

出　　处：《中国医药科学》2016年第13期182-185,共4页China Medicine And Pharmacy

基　　金：广东省佛山市医学类科技攻关项目(2014AB000592)

摘　　要：目的为基层医院干预门诊过度输液提供策略参考。方法以我院成功通过MTP(监测-培训-计划)模式干预儿科门诊和急诊科过度输液为例,分析各项干预策略和干预前后输液指标的变化并总结经验。结果通过实施输液知识宣传教育、输液使用申请制度、患者使用输液知情同意书、用药指南和处方点评等策略,儿科门诊、急诊科过度输液现象得到明显改善,干预实施前后差异有统学意义(P<0.05)。结论通过MTP模式实施有针对性的干预策略能有效减少门诊过度输液现象,值得基层医院推广使用。Objective To provide strategic references for controlling excessive outpatient infusions in grassroots hospitals. Methods Based on the data of pediatric clinic and emergency department in our hospital which successfully applied the MTP（Monitoring-Training-Planning） mode in the control of excessive infusions, the intervention strategies and variations of infusion indexes before and after MTP interventions were analyzed, and the experiences were summarized. Results Through the implementation of infusion knowledge educations, infusion application regulations, infusion informed consent for patients, medication guides, and prescription reviews, the phenomena of excessive infusions in pediatric clinic and emergency department were obviously improved, the differences before and after MTP interventions were statistically significant（P〈0.05）. Conclusion The implementation of MTP mode provides targeted intervention measures, and can effectively reduce the phenomena of excessive outpatient infusions, which is worthy of popularization and application in grassroots hospitals.

关 键 词：MTP(监测-培训-计划) 门诊输液 医疗机构 

分 类 号：R472[医药卫生—护理学]