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多部门协同促进住院患者静脉输液规范使用的实践

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目的 探讨提高住院患者静脉输液规范使用综合干预的效果。方法 通过院内电脑系统导出内蒙古科技大学包头医学院第二附属医院 2020 年 1-12 月(干预前)、2022 年 1-12 月(干预后)住院患者静脉输液相关数据。比较多部门综合管理和多方监测干预在内的各项措施干预前后对住院患者静脉输液率、静脉输液量、重点监控药物静脉输液使用强度等相关指标的影响,并以此评价各部门协同干预实施效果以及不足。结果 干预后住院患者静脉输液率为 85。09%(17444/20501),低于干预前的 89。13%(19536/21919),差异有统计学意义(P<0。05)。多部门协同干预前后住院患者静脉输液指标均有所下降,差异有统计学意义(P<0。05)。结论 多部门联合干预下,可以有效降低住院患者静脉输液各项指标。临床合理用药成效明显,为药事管理以及医疗质量管理提供了参考。
Practice of Multidepartmental Collaboration in Promoting the Standardized Use of Intravenous Infusion for Inpatients
Objective To explore the effectiveness of comprehensive intervention to improve the standardized use of intravenous infusion in hospitalized patients.Methods Data related to intravenous infusion of hospitalized patients in the Second Affiliated Hospital of Baotou Medical College,Inner Mongolia University of Science and Technology from January to December 2020(before intervention)and from January to December 2022(after intervention)were derived through the hospital computer system.The impact of various measures,including comprehensive management by multiple departments and multi-party monitoring intervention,on relevant indicators such as intravenous infusion rate,intravenous infusion volume,and the intensity of intravenous infusion of key monitoring drugs in hospitalized patients before and after intervention were analyzed and compared,and evaluate the effectiveness and shortcomings of collaborative intervention by various departments.The relevant data of inpatient venous infusion rate,intravenous infusion volume,and key monitoring drug intravenous infusion intensity before and after various measures,including comprehensive management by multiple departments and multiple monitoring interventions.Results The rate of intravenous infusion in hospitalized patients after intervention was 85.09%(17444/20501),which was lower than 89.13%(19536/21919)before intervention,and the difference was statistically significant(P<0.05).Before and after the collaborative intervention of multiple departments,the venous infusion indicators of hospitalized patients decreased,and the difference was statistically significant.Conclusion Through the joint intervention of multiple departments,various indicators of intravenous infusion in hospitalized patients can be effectively reduced.The effectiveness of clinical rational drug use is significant,providing reference for pharmaceutical management and medical quality management.

multiple departmentsunioninterventionintravenous infusion rateusage intensitystandardized medication

张靓靓、辛忠、袁少飞、周伊宁、王颖莉、关敬之、郭海军

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内蒙古科技大学包头医学院第二附属医院护理部,内蒙古 包头 014030

内蒙古科技大学包头医学院第二附属医院药学部,内蒙古 包头 014030

包头市疾病预防控制中心公共卫生科,内蒙古 包头 014030

内蒙古自治区国际蒙医医院药学部,内蒙古 呼和浩特 010065

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多部门 联合 干预 静脉输液率 使用强度 规范用药

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(2)
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