临床用药安全核查规范执行率指标的构建及应用  

Development and application of indicators for standardizing medication checking procedures

作　　者：黄天雯[1] 李小银[2] 张伟玲[1] 黄晓敏 蒋小雅 方丽璇[3] 成守珍[4] Huang Tianwen;Li Xiaoyin;Zhang Weiling;Huang Xiaomin;Jiang Xiaoya;Fang Lixuan;Cheng Shouzhen(Department of Orthopedics and Microsurgery,The First Affiliated Hospital of Sun Yat-sen University,Guangzhou 510080,China;不详)

机构地区：[1]中山大学附属第一医院骨科-显微外科医学部,广东广州510080 [2]中山大学附属第一医院放射介入科,广东广州510080 [3]中山大学附属第一医院康复医学科,广东广州510080 [4]中山大学附属第一医院护理部,广东广州510080

出　　处：《护理学杂志》2022年第17期60-62,共3页Journal of Nursing Science

摘　　要：目的构建临床用药安全核查规范执行率指标,规范护士核查行为,保障用药安全。方法以7个护理单元的200名护士为研究对象,明确临床用药安全核查存在的问题,建立临床用药安全核查规范执行率指标及核查清单,开展多模式多途径强化培训,基于指标实施持续质量改进。结果实施前、后各查检4200人次;临床用药安全核查规范执行率从90.67%升至95.31%,差异有统计学意义(P<0.05);实施前后均无临床用药错误的不良事件发生。结论临床用药安全核查规范执行率指标的构建及应用,可规范护士查对行为,保障临床用药安全。Objective To formulate indicators for standardizing medication checking procedures,and to standardize nurses′checking behavior prior to administration and ensure medication safety.Methods Two hundred nurses working in 7 nursing units were inclu-ded in this study.We identified problems in checking process prior to medication administration,then developed indicators and checklist to standardize the checking procedures,provided multi-modal and multi-channel training for nurses,and implemented continuous quality improvement based on the indicators.Results We performed 4,200 inspections in 200 nurses′medication admi-nistration process before and after the intervention,respectively.The rate of standardized checking was increased from 90.67%to 95.31%,showing significant difference(P<0.05).No medication error occurred before and after the intervention.Conclusion Development and application of indicators to standardize checking procedures in medication administration can standardize nurses′checking behavior and guarantee medication safety.

关 键 词：临床用药 患者安全 给药安全 核查 查对 敏感指标 核查清单 

分 类 号：R47[医药卫生—护理学] C931.2[医药卫生—临床医学]