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目的:探讨在急诊科实施高危药品分级管理的效果。方法:比较医院急诊科实施高危药品分级管理前(2016年1~5月)与实施分级管理后(2016年6~10月)的高危药品管理质量状况及护理人员考核成绩。结果:实施分级管理后高危药品目录从原来的14种增加到22种,专人专册管理从1本增加至3本,专用标识从1种增加至3种,不良事件从7起降低至0起,专业评审得分从8.24分升高至9.15分。实施分级管理后护理人员药物管理规定考核成绩、药物知识考核成绩、给药技术考核成绩高于实施前(P<0.05)。结论:在急诊科实施高危药品分级管理能够改善高危药品管理质量,同时提高护理人员的药品管理知识。
Objective: To investigate the effect of high-risk drug grade management in emergency department. Methods: To compare the quality of the high-risk drug management and nursing staff assessment before the implementation of grading management (from January to May 2016) and the implementation of grading management (from June to October 2016) in the emergency department of the hospital. Results: The catalogs of high-risk drugs increased from 14 to 22 after the implementation of grading management, the number of specialist manuals increased from 1 to 3, the number of special signs increased from 1 to 3, and the number of adverse events decreased from 7 to 0 , Professional review score increased from 8.24 points to 9.15 points. After the implementation of the grading management, the nurses’ results of the drug administration regulations, the results of the drug knowledge assessment and the results of the administration of the drug administration were higher than those before the implementation (P <0.05). CONCLUSIONS: The implementation of high-risk drug grade management in the emergency department can improve the quality of high-risk drug management and at the same time enhance the nurse’s knowledge of drug management.