老年病医院高警示药品临床安全应用与计算机预警信息系统研究
Clinical Safety Application and Computer Early Warning Information System for High-Alert Drugs in Geriatric Hospitals
唐华非 1马瑞 1张弦 1陈春亮 1赵强 1马建新2
作者信息
- 1. 中国人民解放军第三〇五医院药局,北京 100017
- 2. 中国人民解放军第三〇五医院干部病房,北京 100017
- 折叠
摘要
目的:进一步规范医院高警示药品的管理,提高医务人员对高警示药品的理解水平,降低临床用药风险.方法:依据《中国高警示药品推荐目录(2019 版)》制定该院高警示药品目录;建立高警示药品计算机预警信息系统,在医师开具处方环节进行弹框提示.收集该院实施计算机预警信息系统前(2020 年 7 月至 2021 年 12 月)、实施后(2022 年 1 月至 2023 年 6 月)的处方数据进行对比分析.结果:实施高警示药品计算机预警信息系统后,总处方合理率由实施前的 98.63%(198427/201181)提高至99.25%(256428/258360),高警示药品处方不合理率由实施前的 14.07%(425/3020)降至 3.07%(153/4980),不合理处方中高警示药品处方占比由实施前的 15.43%(425/2754)降至 7.93%(153/1932),医师对高警示药品的认知和理解进一步加深,基于计算机预警信息系统的高警示药品管理模式初步成型.结论:计算机预警信息系统提高了医务人员对高警示药品的管理质量,保障了患者的用药安全.
Abstract
OBJECTIVE:To further standardize the management of high-alert drugs in hospitals,enhance the understanding of medical personnel on high-alert drugs,and reduce the risk of clinical medication.METHODS:A list of high-alert drugs was developed in the hospital based on the High-Alert Drug Catalog in China(2019 edition).A computer warning information system for high-alert drugs was establish to provide pop-up prompts during the prescription process for clinicians.Prescription data before the implementation of computer early warning information system(from Jul.2020 to Dec.2021)and after the implementation(from Jan.2022 to Jun.2023)were collected for comparative analysis.RESULTS:After the implementation of computer early warning information system,the irrational rate of total prescription increased from 98.63%(198427/201181)to 99.25%(256428/258360),and the irrational rate of high-alert drug prescription decreased from 14.07%(425/3020)to 3.07%(153/4980),the proportion of high-alert drug prescription in irrational prescriptions decreased from 15.43%(425/2754)to 7.93%(153/1932).The clinicians further deepened their understanding and awareness of high-alert drugs,and a computer early warning information system-based model for managing high-alert drugs was initially formed.CONCLUSIONS:The computer early warning information system has improved the management quality of high-alert drugs by medical personnel and ensured the medication safety of patients in geriatric hospitals.
关键词
高警示药品/计算机预警信息系统/用药提示Key words
High-alert drugs/Computer early warning information system/Medication reminder引用本文复制引用
基金项目
军队保健专项课题面上项目(18BJZ44)
出版年
2024
国家科技期刊平台
NSTL
万方数据