加强病区高危药品安全管理的实践与效果

Practice and effect of safety management for high-alert medications in wards

目的加强对病区高危药品的安全管理,确保患者用药安全。方法 2011年针对医院病区高危药品管理中存在的问题进行原因分析,通过建立安全管理组织、健全安全管理制度、规范使用流程、制订管理手册、组织培训与考核等一系列措施,加强病区高危药品的安全管理。结果与2010年相比,2011年发生高危药品管理缺陷和用药安全隐患的事件明显下降,差异有统计学意义(χ2=6.97,P<0.05)。护理人员对高危药品药学知识的掌握程度有显著提高。结论加强病区高危药品的安全管理,能有效提高护理人员的安全用药能力,保障患者安全。

Objective To strengthen the safety management of high-alert medications and to ensure medication safety. Methods The reasons of the existing problems in the management of high-alert medications were analyzed in 2011. Then,a series of management measures were carried out ,such as setting up a management team,perfecting the safety management systems for high-alert medications,standardizing the work flow of high-alert medication administration,formulating management pamphlets for high-alert medications,organizing training and examinations. Results The incidence of management defects and medications safety risks for high-alert medications in 2011 was significantly lower than that of 2010（x2=6.97,P〈0.05）. The nurses＇ mastery degree of pharmaceutical knowledge about high-alert medications was significantly improved. Conclusion Strengthening the safety management of high-alert medications can effectively improve nurses＇ ability of safe medication admin- istration and ensure patient safety.