高警示药品信息安全屏障体系的构建研究  

Study on the construction of information security barrier system of high-alert drugs

作　　者：朱美丽[1] 马红丽[1] 叶兰英[1] 张宇平[1] 金伟飞[1] 谢伟萍[1] ZHU Meili;MA Hongli;YE Lanying;ZHANG Yuping;JIN Weifei;XIE Weiping(Department of Nursing,Shaoxing People′s Hospital,Shaoxing,Zhejiang 312000,China)

机构地区：[1]浙江省绍兴市人民医院护理部

出　　处：《重庆医学》2020年第2期302-305,共4页Chongqing medicine

基　　金：浙江省医药卫生科技计划项目（2018KY821）

摘　　要：目的构建以信息化为载体的高警示药品安全屏障系统,探讨其临床应用效果。方法依托医院信息管理系统,建立高警示药品安全屏障。选取该院35个临床科室2017年12月最后1周未建立高警示药品安全屏障前1820条高警示药品医嘱作为对照组,再选取2018年1月最后1周已建立高警示药品安全屏障后1718条高警示药品医嘱作为观察组。对比两组药物医嘱处理、摆药、核对、配药和执行的任何环节的缺陷事件发生率及护士执行高警示药品满意度。结果两组高警示药品使用缺陷事件比较,观察组用药缺陷事件发生率低于对照组(0.47%vs.2.31%),差异有统计学意义(P<0.05)。实施以信息化为载体构建高警示药品安全屏障后,护理人员对新流程的综合满意人数明显上升,观察组综合满意率高于对照组(90.2%vs.61.6%),差异有统计学意义(P<0.05)。结论高警示药品安全屏障的建立降低了护理人员用药缺陷事件发生率,提升了满意度。Objective To construct the safety barrier system of high-alert drugs,and explore the effect of clinical application.Methods Based on the hospital information management system,establish a high-alert drugs safety barrier.A total of 1820 orders for high-alert drugs were selected from 35 clinical departments of the hospital before the establishment of high-alert drugs safety barrier in the last week of December 2017 as the control group,and 1718 orders for high-alert drugs after the establishment of high-alert drugs safety barrier in the last week of January 2018 as the observation group.Compared the incidence of defects in the any link between the two groups,like deal with doctors′orders,dispensing,checking,dispensing and bedside execution,and the satisfaction of nurses in the execution of high-alert drugs.Results Two groups of high alert drug use defects were compared,the rate of drug use defects in the observation group was lower than that in the control group(0.47%vs.2.31%),the difference was statistically significant(P<0.05).After implementing the construction of high-alert drugs safety barrier with information as the carrier,nursing staff to the new process of comprehensive satisfaction was a marked rise,satisfaction rate in the observation group was higher than that in the control group(90.2%vs.61.6%),the difference was statistically significant(P<0.05).Conclusion The establishment of high-alert drugs safety barrier reduces the incidence of drug defects and improves the satisfaction of nursing staff.

关 键 词：信息化 高警示药品 安全屏障 应用 

分 类 号：R473[医药卫生—护理学] R319.1[医药卫生—临床医学]