57所医疗机构高浓度氯化钾注射液管理与临床使用现状调查  

Investigation on the Management and Clinical Use of High Concentration of Potassium Chloride Injection in 57 Medical Institutions

作　　者：蒋薇 席文立 陈正 李园丽 JIANG Wei;XI Wen-li;CHEN Zheng;LI Yuan-li(Department of Neurology,Kaifeng Central Hospital,Kaifeng 475000,China;Department of Pharmacy,Kaifeng Central Hospital,Kaifeng 475000,China;Department of Pharmacy,Tianjin Medical University Cancer Institute,Tianjin 300060,China)

机构地区：[1]开封市中心医院神经内科,开封475000 [2]开封市中心医院药剂科,开封475000 [3]天津医科大学肿瘤医院药学部,天津300060

出　　处：《中国合理用药探索》2022年第1期51-56,共6页Chinese Journal of Rational Drug Use

摘　　要：目的:调查57所医疗机构高浓度氯化钾注射液管理与临床使用现状,为临床合理用药提供参考。方法:选取57所医疗机构(26所二级医院、31所三级医院)的临床药师于2021年2月进行问卷调查。问卷内容包括高浓度氯化钾注射液的组织与制度管理、信息系统完善、储存、使用与监护共5个环节,收集调查问卷并对所得结果进行统计分析。结果:在高浓度氯化钾注射液的管理及监护环节,57所医疗机构均建立了高警示药品管理制度与使用规范、设置了合理的警示标识,52所(91.23%)医疗机构具备高浓度氯化钾注射液或高警示药品使用的相关培训。在系统信息完善、药品储存及临床使用方面,仅有28所(49.12%)医疗机构设置了默认的给药途径为静脉滴注或泵入,19所(33.33%)医疗机构设置了含稀释溶媒的成组药品供医师选择;9所(15.79%)医疗机构在病区未存放高浓度氯化钾注射液,38所(66.67%)医疗机构在静脉用药调配中心(PIVAS)或病区内存在拼用高浓度氯化钾注射液的情况;27所(47.37%)医疗机构在发放时使用高警示药品专用袋。二、三级医院在具备适合本机构的标准化使用流程、信息系统设置拦截功能、自动关联患者的检查结果、药物给药浓度与速度的知晓率以及临床药师对患者进行临床教育等方面具有统计学差异(P<0.05)。结论:57所医疗机构在高浓度氯化钾注射液的组织与制度管理、监护方面的设置基本合理,但在信息系统完善、储存、使用方面仍有不足。二级医院不足之处更为明显,还有待进一步改进,以促进临床合理用药,切实保障患者的用药安全。Objective:To investigate the management and clinical use of high concentration of potassium chloride injection in 57 medical institutions,so as to provide references for its rational use.Methods:A questionnaire survey was conducted among clinical pharmacists in 57 medical institutions(26 secondary hospitals and 31 tertiary hospitals)in February 2021.The content of the questionnaire included five segments:organization and system management,information system improvement,storage,use and monitoring of high concentration potassium chloride injection,and the results were statistically analyzed.Results:High-alert drug management systems and use standards have been established,and reasonable warning signs have been set in the management and monitoring of high-concentration potassium chloride injection in 57 medical institutions.52(91.23%)hospitals have relevant training on the use of high concentration potassium chloride or high warning drugs.In terms of the improvement of the information system,drug storage and clinical use,only 28(49.12%)hospitals set the default route of administration as intravenous infusion or pump,19(33.33%)hospitals set groups of drugs containing diluted solvent for doctors to choose,9(15.79%)hospitals didn’t store high concentration potassium chloride injection in the inpatient ward,27(47.37%)hospitals used special bags for high-alert drugs when distributing,38(66.67%)hospitals have collaged with high concentration of KCl injection either on the Pharmacy intravenous admixture service(PIVAS)or inpatient ward.There were statistically significant differences in secondary and tertiary hospitals on the standardized use process,interception function of information system,automatic correlation of patients’examination results,awareness rate on the concentration and speed of drug administration and clinical education of clinical pharmacists to patients(P<0.05).Conclusion:The organization,system management and monitoring of high concentration potassium chloride injection in 57 medical institutions are

关 键 词：高浓度氯化钾注射液 高警示药品 调查问卷 临床使用 用药安全 

分 类 号：R952[医药卫生—药学]