我院高危药品管理的探索与实践

Exploration and Practice of the Management of High-risk Medicines in Our Hospital

目的:探索提高医院高危药品管理水平的方法。方法:明确我院高危药品管理中存在的问题,制订相应的管理制度和措施,并以管理干预前后对医务人员进行高危药品相关知识调查的结果进行管理效果评价。结果与结论:我院高危药品的管理主要存在如下问题:医务人员不熟悉高危药品的概念和分类,未制订高危药品的目录、管理制度和措施、特殊标识等;针对上述问题分别制订相应措施,包括建立高危药品管理体系、确定最需加强管理的高危药品、建立高危药品管理的信息化网络、提高医务人员风险意识等;调查结果表明多项认知指标在管理干预后与干预前比较有明显改进。结合高危药品的特点和管理中存在的问题,制订切实可行的管理制度和措施,可以明显提高医院高危药品的管理水平,并减少由此引起的严重药物不良事件的发生。

OBJECTIVE：To explore the approach to improve the management of hospital high-risk medicines.METHODS：The problems of the management of high-alert medicines in our hospital were confirmed,appropriate management systems and measures were formulated,and relative knowledge of medical staff on high-risk medicines was investigated before and after intervention to evaluate the effect of management.RESULTS CONCLUSIONS：The main management problems of high-risk medicines in our hospital were as follows：the medical staff are not familiar with its concept and classification;there are no list,management system and measures,special logo and warning station for high-risk medicines,and so on.Relevant measures were developed to solve the above-mentioned problems,including establishing high-risk medicines management system,defining high-risk medicines which mostly needed to strengthen management,formulating high-risk medicines management information network,improving consciousness of risk protection of medical staff.Multiple cognition index were improved significantly after intervention.Based on the characteristics of high-risk medicines and the management of problems,the management system and measures are formulated to improve the management of high-risk medicines and decrease the occurrence of drug adverse event of it.