46例危重患者静脉微量泵用药不良事件分析与整改对策  

Analysis of adverse events of intravenous micropump in 46 critically ill patients and countermeasures for rectification

作　　者：李爱萍[1] 鲍敏慧[2] 朱小兰[2] LI Ai-ping;BAO Min-hui;ZHU Xiao-lan(Taixing People's Hospital Department of Nursing Jiangsu Taixing 225400,China;Taixing People's Hospital ICU,Jiangsu Taixing 225400,China)

机构地区：[1]泰兴市人民医院护理部,江苏泰兴 225400 [2]泰兴市人民医院ICU,江苏泰兴225400

出　　处：《中西医结合心血管病电子杂志》2019年第23期2-4,共3页Cardiovascular Disease Electronic Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的通过分析ICU46例静脉泵注用药不良事件发生原因,提出静脉泵注用药不良事件有效防范措施。方法回顾分析我院2016年1月~2018年12月46例不良事件发生情况,分类分析,归纳原因,针对原因整改并持续质量改进。结果血管活性药的不良事件发生率最高,其次为镇静镇痛药、胰岛素,再次为泵药过程中其它高浓度电解质,心血管药等,80%为可预防事件,原因为巡视不全观察不细,15%为经验不足,年轻护士对日常工作重点掌握不准和时间分配不当。结论持续质量改进、严格遵守用药规程和落实巡视制度结合安全用药手册,能有效拦截泵药不良事件的发生。Objective By analyzing the causes of 46 cases of venous pumping adverse events in ICU,the effective preventive measures for adverse events of intravenous pumping were proposed.Methods Retrospective analysis of 46 cases of adverse events occurred in our hospital from January 2016 to December 2018,classification analysis,induction reasons,rectification for reasons and continuous quality improvement.Results Vasoactive drugs have the highest incidence of adverse events,followed by sedative analgesics,insulin,and other high-concentration electrolytes and cardiovascular drugs in the process of pumping.80%are preventable events.The reason is that the inspection is not detailed.15%are inexperienced,and young nurses are not sure about the key points of daily work and improper allocation of time.Conclusion Continuous quality improvement,strict adherence to medication protocols,and implementation of a patrol system combined with a safe medication manual can effectively prevent the occurrence of adverse drug events.

关 键 词：微量泵 ICU 静脉泵注 不良事件 持续质量改进 

分 类 号：R459.7[医药卫生—急诊医学]