医院病区抢救车药品合理性配备方案探讨  

Discussion on rational drug equipping scheme of hospital ward rescue vehicles

作　　者：王芳[1] 刘庆祥 杨默媛 王心慧 郑军 王雅薇 马学华[2] WANG Fang;LIU Qingxiang;YANG Moyuan;WANG Xinhui;ZHENG Jun;WANG Yawei;MA Xuehua(Department of Pharmacy,Medical Supplies Center of PLA General Hospital,Beijing100028,China;Department of Military Sick and Wounded Management,the 4th Medical Center of PLA General Hospital,Beijing100048,China)

机构地区：[1]解放军总医院医疗保障中心药剂科,北京100028 [2]解放军总医院第四医学中心伤病员管理科,北京100048

出　　处：《中国医药导报》2023年第25期164-167,181,共5页China Medical Herald

基　　金：中央军委后勤保障部卫生局军队十三五重大项目(BWS17J018)。

摘　　要：目的通过分析医院病区抢救车配备药品品种和数量的使用情况,为合理配置抢救车药品提供方法和建议。方法采用大数据分析法,对某三甲医院2021年4月至2022年4月大、中型抢救中所使用药品的品种及数量进行提取和分析,统计计算出抢救车的使用率、使用频次、满足抢救需求率、抢救车内外品种使用情况,并运用四分位法,按75%分位确定急救车上各品种配备的数量,运用柏拉图法确定抢救车外应配备的品种。对优化配备后急救车外取用情况进行统计,验证优化方案的合理性。结果抢救车使用率为62.22%,门诊、医技科室使用量为0;完全满足抢救需求率为30.65%,应用四分位法得出肾上腺素配备量由10支调整为17支,盐酸多巴胺注射液由10支调整为9支等。应用柏拉图分析法得出,除保留原固定模板中药品外,另配备7种目录外药品作为统一配备。并依据肝胆外科、老年医学科等科室用药特点,加备人血白蛋白等品种。优化配备后急救车外药品的使用比例由44%下降至11%,更好地满足了临床急救的需求。结论运用科学统计方法优化急救车配备方案能够精准地满足急救需求。Objective To analyze the use of the drug types and quantity of the rescue car in hospital ward,and to provide methods and suggestions for rational allocation of drugs in the rescue car.Methods Big data analysis method was used to extract and analyze the variety and quantity of drugs used in large and medium-sized rescue in a Grade-Ⅲhospital from April 2021 to April 2022,and statistically calculate the utilization rate,convenient use frequency,the rate of meeting the rescue demand,and the use of varieties inside and outside the rescue vehicle.And the use of quartile method,according to 75%of the points to determine the number of varieties equipped with emergency vehicles,the use of Plato method to determine the rescue vehicle should be equipped with varieties.Statistics were made on the outside access of emergency vehicles after optimization,and the rationality of the optimization scheme was verified.Results The utilization rate of rescue vehicle was 62.22%,and that of outpatient medical technology department was 0.The rate of fully meeting the rescue demand was 30.65%.The dose of epinephrine was adjusted from 10 to 17,and the dose of Dopamine Hydrochloride Injection was adjusted from ten to nine.With the application of Plato analysis,it was concluded that in addition to keeping the drugs in the original fixed template,another seven drugs outside the list were equipped as unified equipment.Human blood albumin,and other varieties were added according to the drug characteristics of hepatobiliary surgery,geriatrics and other departments.The proportion of drugs was used outside emergency vehicles with optimized equipment decreased from 44%to 11%,which better met the needs of clinical first aid.Conclusion Using scientific statistical methods to optimize the emergency vehicle allocation scheme can accurately meet the emergency needs.

关 键 词：病区 抢救车 配备药品 品种和数量 

分 类 号：R954[医药卫生—药学]