中国药物警戒 ›› 2020, Vol. 17 ›› Issue (12): 926-929.
DOI: 10.19803/j.1672-8629.2020.12.17

• 安全与合理用药 • 上一篇    下一篇

管道服务系统模式在高危药品管理中的应用

文娱, 陈云艳, 张秋萍   

  1. 厦门市中医院药学部,福建 厦门 361009
  • 收稿日期:2019-10-10 修回日期:2020-12-07 出版日期:2020-12-15 发布日期:2020-12-07
  • 作者简介:文娱,女,硕士,主管药师,临床药理与医院药学。

Pipeline Service System Model in Control of High-risk Drugs

WEN Yu, CHEN Yunyan, ZHANG Qiuping   

  1. Department of Pharmacy,Xiamen Hospital of Traditional Chinese Medicine,Xiamen Fujian 361009
  • Received:2019-10-10 Revised:2020-12-07 Online:2020-12-15 Published:2020-12-07

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摘要： 目的 阐述临床药师促进高危药品安全使用的工作模式。方法 管道服务系统模式应用到高危药品药学服务中。“管头”表示管理措施的制定;“管壁”表示临床药师参与患者高危药品药疗过程中与医生、护士、良好的沟通协作,与患者互动的过程中,提供一条畅通的安全用药通道;“管尾”则表示临床药师通过对使用高危药品的患者随访及评估,优化药疗方案,产生与“管头”对接的弹性循环效应。采用数字评分法对管道模式前后护理人员对高危药品知识的掌握程度进行比较。结果 应用管道服务模式后,护理人员对高危药品知识的掌握程度有较大提高(40.0%~88.9%)。管道服务模式前204例患者中,总不合理例数构成比占49.5%。应用管道服务模式后191例患者中,总不合理例数构成比占36.1%。不合理用药较前有所改善。结论 采用管道服务系统模式可提高高危药品的安全使用。

关键词: 管道服务系统模式, 临床药师, 高危药品

Abstract: Objective To explore the working mode in which clinical pharmacists participate in the control of high-risk drugs and promote medication safety.Methods Clinical pharmacists participated in pharmaceutical service to high-risk drugs using the pipeline service system model. The pipe head indicated control measures. The pipe wall indicated not only good cooperation between clinical pharmacists and doctors and nurses while controlling high-risk drugs but also a safe medication channel during interactions with patients. The pipe end indicated that by means of follow-up and assessment of patients using high-risk drugs, clinical pharmacists optimized medications, hence the elastic circular effect with the pipe head at any time. The levels of knowledge of high-risk drugs by nurses were compared by the scores of numerical rating scale.Results After the adoption of the pipeline service model, nurses’levels of knowledge of high-risk drugs were improved( 40.0% to 88.9%).Among the 204 patients prior to the implementation of the pipeline service model, the total number of cases of irrational use of high-risk drugs accounted for 49.5%, compared with 36.1% after the pipeline service model was adopted. The number of proper medications improved.Conclusion Use of the pipeline service system model can help ensure the safety of high-risk drugs.

Key words: pipeline service system model, clinical pharmacists, high-risk drugs

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