首页|住院患者静脉输注血管活性药物风险管理优化研究

住院患者静脉输注血管活性药物风险管理优化研究

Optimization of Risk Management for Inpatient Intravenous Infusion of Vasoactive Drugs

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依照医疗失效模式与效应分析(HFMEA)步骤,对住院患者静脉输注血管活性药物过程中存在的风险点进行系统挖掘和深入分析,从构建评估体系、开展五步联动培训、制订集束化管理措施、明确质量评价标准4方面制订针对性干预措施并落实.结果显示:护士血管活性药物知识掌握率从76.3%提高至98%,不合理医嘱拦截率从65%提高至99.8%,药物速度准确换算平均时间从25 s缩短至19 s,护士评估准确率从81.6%提高至99.2%,护士静脉穿刺成功率从75.4%提高至99%,外渗风险防范措施落实率从80%提升至100%,续药规范率从54%提高至100%,患者血管活性药物知识知晓率从65.7%提升至98%,安全用药规范执行率从76%提高至99.2%,有效降低了血管活性药物的用药风险,确保了患者用药安全.
According to the steps of healthcare failure mode and effect analysis(HFMEA),the risk points existing in the process of intravenous infusion of vasoactive drugs in inpatients were systematically explored and deeply analyzed,and targeted intervention measures were formulated and implemented from four aspects:building an evaluation system,carrying out five-step linkage training,formulating cluster management measures,and creating quality evaluation standard.The results showed that the mastery rate of nurses'knowledge of vasoactive drugs was increased from 76.3%to 98%,the interception rate of unreasonable doctor's orders was increased from 65%to 99.8%,the average time of ac-curate conversion of drug speed was shortened from 25 s to 19 s,the accuracy rate of nurses'evaluation was increased from 81.6%to 99.2%,and the success rate of nurses'venepentesis was increased from 75.4%to 99%.The implemen-tation rate of extravasation risk prevention increased from 80%to 100%,the renewal standard rate increased from 54%to 100%,the awareness rate of patients'vasoactive drug knowledge increased from 65.7%to 98%,and the implementa-tion rate of safe drug use standard increased from 76%to 99.2%,which effectively reduced the risk of vasoactive drug use and ensured the drugs use safety of patients.

Healthcare Failure Mode and Effect Analysis(HFMEA)InpatientsVasoactive DrugsMedication SafetyRisk Management

尹姣、卫攀、薛淑敏、史敏、高欢筱、王娟、张明明、彭阿丽

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空军军医大学第二附属医院 陕西 西安 710038

医疗失效模式与效应分析(HFMEA) 住院患者 血管活性药物 用药安全 风险管理

2024

中国卫生质量管理
中国医院协会,陕西省人民医院

中国卫生质量管理

CSTPCD
影响因子:1.091
ISSN:1006-7515
年,卷(期):2024.31(9)