The Role of Pharmacists in Management of the High-alert Medications

Abstract

Abstract: Objective To study and analyze the role of pharmacists in management of high-alert medications in hospital and the Methods which can be used. Methods Refer to the ISMP's and CPAHP's lists of high-alert medications in 2012, and some management strategies and experiences of high -alert medications in medical institutions in China. Results The concept, background and classification of high -alert medications up to date were illustrated; the latest management ideas, technologies and measures of high -alert medications in hospital were summarized; the role of pharmacists in management of the high-alert medications in hospital was analyzed; and some management experiences in our hospital were introduced. Conclusion It is important to establish safety management system of high -alert medications for medical institutions. We advised that hospitals should make the lists and management systems of high-alert medications of their own according to each professional specialties, and attach importance to the pharmacists.

Key words: high-alert medications, drug safety, management, pharmacists

CLC Number:

R917

REN Shuang ,LIANG Jian-hua. The Role of Pharmacists in Management of the High-alert Medications [J]. Chinese Journal of Pharmacovigilance, 2013, 10(8): 501-504.

References

[1] Institute for Safe Medication Practices.ISMP's List of High-AlertMedications[EB/OL].[2012-12-01].http://www.ismp.org/Tools/highalertmedications.pdf.
[2]《中华人民共和国药品管理法》（主席令第45 号）第五章第三十五条[S].[2012-12-01]. http://www.sda.gov.cn/WS01/CL0784/23396.html.
[3] 中国药学会医院药学专业委员会用药安全项目组.高危药品分级管理策略及推荐目录[EB/OL].[2012-12-01]http://www.cpahp.org.cn/ccyyf/news/201203/1435.htm.
[4] The Joint Commission on Accreditation of Healthcare Organizations (JCAHO).High-AlertMedicationsandPatientSafety[J]. International journal for quality in health care,2001,13(4):339-340.
[5] 赵娟妮, 刘林. 构建高危药品使用管理立体网络的探索研究[J]临床合理用药, 2011, 4(12A):167-168.
[6] 张幸国,饶跃峰,张国兵,等. 医院高危药品管理制度的理论研究和实践[J]. 中国药房, 2009, 20(22):1960-1962.
[7] 崔杰,李秀敏,闫荟,等“. 北京军区总医院高危药品管理系统”软件开发及应用[J]. 中国药房, 2011, 22(29):2076-2077.
[8] 戴慧珊,施雁,龚美芳. 安全屏障应用于高危药物管理的研究[J].护理学杂志,2009,24(18)(外科版):8-10.
[9] 何忠芳,陈志雄,光奇,等. 高危药品单次最大剂量确定及其警示系统开发[J]. 中国医院药学杂志,2011,31(20):1733-1735.
[10] 华旭东,方红梅,马珂,等.信息技术在高危药物管理中的应用[J].中国药学杂志,2011,46(4):313-314.
[11] 祝培友,路俊华,张敬毅,等.静脉用药调配中心的高危药品管理[J].中国医药导报,2011,8(11):130-131.
[12] 汤永勤,王红莲. 肿瘤病区高危药品用药安全管理[J]. 现代医院管理,2010,4(37):64-65.
[13] 韦秀芬,李慧敏. 产科病区实施高危药品管理的方法与效果[J].护理管理杂志,2010,10(4):291-292.
[14] 王达妹,王春晖,魏朝晖,等. 浅谈开设手术药房规范手术药品管理的体会[J]. 中国药房,2010, 21(37):3494-3496.
[15] 赵雅莉. 高危药物在老年科临床使用中的安全管理策略[J]. 包头医学院学报,2012,2:115-117.
[16] 林萍,宋美新.处方药调剂差错分析与防范[J].海峡药学,2009,21(7):192-194.
[17] 徐立新,杨丽琼. 基层医院高危药品的管理[J].中国医药科学,2012,2(5):156-157.
[18] 成明建,黄齐慧,薛建文,等. 高危药物的监测干预研究[J]. 中国药学杂志,2011,46(11):869-872.
[19] 宋福鱼,翟所迪,张洪君,等. 药护结合提高护理人员对高危药品认知度的调查[J]. 中国药房,2011,22(40):3763-3765.
[20] 羊萍,廖香兰. 药师对使用笔式胰岛素患者的用药教育[J]. 中国社区医师,2012,05:484.
[21] 柳亚敏,葛卫红,阳丽梅. 临床药师对患者实施抗凝治疗教育的效果评价[J]. 药学与临床研究,2009,17(6):516-518.
[22] 钱南萍,魏润新,许静,等.临床药师对肿瘤化疗患者的用药教育[J].中国药房,2012,23(10):951-953.
[23] IOM(INSTITUTE OF MEDICINE). To Err Is Human: Building a Safer Health System[M].[2012-12-01].http://www.nap.edu/books/0309068371/html/.
[24] Schochet S S, Lampert P W, Earle K M. Neuronal changes induced by intrathecal vincristine sulfate[J]. Journal of neuropathology and experimental neurology, 1968, 27(4):645-658.
[25] Takeshita H, Yasuda T, Nakajima T, et al. A death resulting from inadvertent intravenous infusion of enteral feed[J]. International journal of legal medicine, 2002,116(1):36-38.