Construction and effect of regional upgrading of pharmaceutical care in intelligent closed-loop manage-ment of peritoneal dialysis
OBJECTIVE To upgrade the construction of the region intelligent closed-loop management system of peritoneal dialysis and evaluated the effect to make up for the defects of the existing management mode of peritoneal dialysis,and promote the development of peritoneal dialysis.METHODS With the help of PDCA tool,the main factors of errors related to peritoneal dialysis solution were explored,and the cloud dialysis logistics information system was designed by ourselves with the technical means of the combination of the Internet of Things and the Internet.Meanwhile,the hospital logistics supervision platform was set up to carry out real-time monitoring of the whole process of peritoneal dialysis solution supply,and the peritoneal dialysate management system was independently developed through PowerBuilder.Based on this,we build a unified regional visual logis-tics management platform and a multi-dimensional query platform that can monitor the whole process.On this basis,we also built a data analysis platform,optimize the training system for medical personnel,build a regional medical and drug combination,and integrate traditional Chinese and Western medicine to serve patients online and offline.RESULTS The number of delivery errors in the region decreased from 92 to 13 per year,the registration time decreased from 9.2 min to 1.6 min,the delivery time decreased from 4.5 d to 2.1 d,and the number of related complaints decreased from 56 to 3 per year.The completion degree of regional education increased from 76％to 98％,the standard degree of peritoneal dialysis operation of medical staff increased from 86％to 96％,the familiarity of patients and their families with peritoneal dialysis operation and related drugs increased from 70％to 90％,and the satisfaction and compliance of patients and satisfaction of medical staff were significantly improved.The differ ences were statistically significant.CONCLUSION This study conducted an in-depth exploration of the intelligent closed-loop management of regional peritoneal dialysis and achieved certain results,which was promoted in the region and even the whole country to further ensure the drug safety of patients,improve the comprehensive service ability of pharmacists,and help medical institutions to accurately manage peritoneal dialysis fluid and promote the transformation of pharmacists.
peritoneal dialysisregional upgradeintelligent closed-loop managementmultidisciplinary team
NETL
NSTL
万方数据
