新疆医科大学第一附属医院在降低住院患者静脉输液率管理中的探索与实践  

Exploration and practice in the management of reducing the intravenous infusion rate of hospitalized patients in the First Affiliated Hospital of Xinjiang Medical University

作　　者：管娜[1] 李东锋[1] 刘玉花[1] GUAN Na;LI Dongfeng;LIU Yuhua(Department of Pharmacy,the First Affiliated Hospital of Xinjiang Medical University,Xinjiang Uygur Autonomous Region,Urumqi830000,China)

机构地区：[1]新疆医科大学第一附属医院药学部,新疆乌鲁木齐830000

出　　处：《中国当代医药》2023年第9期131-134,共4页China Modern Medicine

基　　金：新疆维吾尔自治区药学会科研基金资助项目(YXH202120,YXH202223)。

摘　　要：目的开展国家级质量改进项目,规范新疆医科大学第一附属医院(以下简称“本院”)住院患者静脉输液的使用,保障患者合理安全用药。方法选取2020年1月至2021年12月本院的210900例住院患者作为研究对象,根据患者住院时间分为对照组(2020年1月至12月)和干预组(2021年1月至12月),对照组87787例,干预组123113例。对照组实施传统管理方法,干预组在传统管理的基础上加用新型管理方法,包括制度建设管理、合理用药点评、加强宣传教育和强化处方前置审核在内的各项措施。比较两组患者的各类药物住院患者静脉输液率,观察干预效果。对干预后住院患者静脉输液相关指标变化情况进行分析,从多角度体现干预效果。结果采取综合干预措施后,对照组的住院患者静脉输液率、抗菌药物静脉输液率、中药注射剂静脉输液率、肠外营养液静脉输液率、质子泵静脉输液率、止吐药静脉输液率和肿瘤药静脉输液率高于干预组,差异有统计学意义(P<0.05)。采取干预措施后,平均每床日输液量、抗菌药物输液使用强度、重点监控药品使用人次数均呈下降趋势。结论本院采取的综合干预措施可有效降低住院患者静脉输液率和相关指标,减少了医疗成本,提高了患者用药安全。Objective Carry out national-level quality improvement projects,standardize the use of intravenous infusion for inpatients in the First Affiliated Hospital of Xinjiang Medical University(hereinafter referred to as"our hospital"),and ensure the rational and safe use of drugs by patients.Methods A total of 210,900 inpatients from our hospital from January 2020 to December 2021 were selected as the research objects,they were divided into the intervention group(January to December 2021)and the control group(January to December 2020)according to the hospitalization time,with 87,787 cases in the control group and 123,113 cases in the intervention group.The control group implemented traditional management methods,and the intervention group added new management methods,including system construction management,rational medication evaluations,strengthening publicity and education and strengthening pre-prescription review.Analyze the intravenous infusion rates of inpatients with various drugs,then observe the intervention effect.Analyze the changes of the related indicators of intravenous infusion in inpatients after the intervention to reflect the intervention effect from multiple perspectives.Results After taking comprehensive intervention measures,the rate of intravenous infusion of inpatients in the control group,the rate of intravenous infusion of antibacterial drugs,the rate of intravenous infusion of traditional Chinese medicine injection,the rate of intravenous infusion of parenteral nutrition solution,the rate of intravenous infusion of proton pump,the rate of intravenous infusion of antiemetic drugs and the rate of intravenous infusion of tumor drugs were higher than those in the intervention group,the differences were statistically significant(P<0.05).After the intervention measures were taken,the average daily infusion volume per bed,the use intensity of antibacterial drug infusion,and the number of users of key monitoring drugs showed a downward trend.Conclusion The comprehensive intervention measures adopted b

关 键 词：静脉输液率 干预措施 住院患者 质量改进 

分 类 号：R95[医药卫生—药学]