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机构地区:[1]北京市门头沟区医院药剂科,北京102300 [2]河北医科大学第三医院药剂科,河北石家庄050051
出 处:《临床荟萃》2016年第8期901-904,共4页Clinical Focus
摘 要:目的调查本医疗机构癌症疼痛诊疗过程中医务人员进行"癌痛规范化诊疗"具体落实情况,分析门头沟区医院目前存在的问题,为本院癌症疼痛诊疗质控提供依据。方法采用终末病历点评和运行病历现场调查的方式对门头沟区医院第三季度应用了麻醉药品的癌症患者病历进行分析,点评方式和调查方法依据《北京市癌症疼痛规范化治疗质控专家共识(2014年版)》,分析内容分为护理部分和临床部分。结果门头沟区医院护理操作部分能够按照医院要求完成,但填报数据的严谨性有待于提高;临床部分欠缺过多,起点过低,基本不能达到北京市质控标准。结论必须加强医务人员的癌痛诊疗培训,制定本院质控标准并严格执行。Objective To investigate the implementation of "Standardized Diagnosis and Treatment of Cancer Pain' in our hospital and analysis our current problems. And to provide the basis for quality control of diagnosis and treatment on cancer pain in our hospital. Methods The methods of terminal medical case reviews and medical cases field investigation were applied to analyze the application of narcotic drugs in our hospital cancer patients in the third quarter of 2015. The reviews and investigations method based on 'Expert Consensus on Standardization of Cancer Pain Treatment and Quality Control in Beijing (2014 edition)' The contents of analysis were divided into nursing and clinical parts. Results Nursing procedures were accomplished in accordance with the requirements for the hospital. However, the completing the preciseness of the data needed improvement. The clinical part lacked too much contents, the starting point was too low, which did not achieve the basic standard of quality control in Beijing. Conclusion Taining for diagnosis and treatment on cancer pain should be strengthened. Moreover, the quality control standards should be set up and strictly implemented.
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