论文部分内容阅读
目的:探索基层医院病区备用药品管理模式,提高药品管理质量,节省护士非直接护理时间,保证患者用药安全。方法:护理部、药剂科、医务科、总务科多部门协作,调查病区备用药品管理现状,对调查结果进行分析后,多部门共同制定符合基层医院的病区备用药品管理改进方案并进行持续质量改进。结果:改进方案实施后,全院病区备用药品种由1 047种下降至478种;数量由6 639支/片减少至2 669支/片;医院成本金额由100 533元下降至30 321元;药品管理质量总达标率由改进前的55.2%提升至93.3%(P<0.001);护士每天清点药品花费5分钟内的病区数从9.5%增加到61.9%(P<0.001);领用药品花费5分钟内的病区数由0%升至38.1%;领用药品花费30分钟以上的病区数从52.4%下降至19.0%(P<0.01);护士对病区备用药管理模式满意度由52.4%提升至100%(P<0.001);对药房服务模式满意度由28.6%提升至95.2%(P<0.001)。结论:通过团队协作管理病区备用药品,能加大管理力度,有效提高工作效率,保证用药安全,提升护士满意度。
Objective: To explore the management model of reserve medicine in the ward of primary hospitals, improve the quality of drug administration, save the time of non-direct nursing for nurses and ensure the safety of patients. Methods: The departments of Nursing, Pharmacy, Medical and General Services collaborated to investigate the status quo of spare drug administration in the wards. After analyzing the survey results, various departments jointly formulated and improved the plan of ward drug replacement in line with the primary hospital quality improvement. Results: After the implementation of the improved plan, the number of dispensary drugs in the entire hospital ward fell from 1 047 to 478; the number decreased from 6 639 to 2 669 pieces; the cost of the hospital decreased from 100 533 yuan to 30 321 yuan ; The total compliance rate of the quality of drug administration increased from 55.2% before the improvement to 93.3% (P <0.001); the number of wards within 5 minutes after the medicines were collected by the nurses increased from 9.5% to 61.9% (P <0.001) within 5 minutes; The number of wards spent within 5 minutes increased from 0% to 38.1%; the number of wards taking medicines over 30 minutes decreased from 52.4% to 19.0% (P <0.01); and nurses were satisfied with the management model The degree of satisfaction with pharmacy service mode increased from 28.4% to 95.2% (P <0.001) from 52.4% to 100% (P <0.001). Conclusion: Team-based management of wards spare drugs can increase management efforts, improve work efficiency, ensure drug safety and enhance nurse satisfaction.