高危药品分级管理模式探讨

Investigation of Classification Management Model for High-alert Medication

目的:探索有效管理高危药品的模式,提升用药安全管理水平。方法:通过检索国内外文献,介绍高危药品的背景及管理现状,分析高危药品风险点,结合我院情况探讨高危药品分级管理模式。结果:我院设计了高危药品标识并总结不同高危药品的风险点,建立了金字塔式的高危药品分级管理模式,将危险程度最高、品种数较少、最需要重点管理和监护的高危药品定为A级,危险程度次之的定为B级,程度更缓和的定为C级。根据不同级别药品特点,制订了相应的管理措施,确定了管理重点,提出了管理措施建议。结论:建立的高危药品分级管理制度有助于提高医院药物治疗的安全性,提升药学服务水平。

OBJECTIVE：To explore effective management of high-alert medication,and to promote the management of medication safety.METHODS：By retrieving from domestic and foreign literatures,the background of high-alert medication and present management situation were introduced,the high-risk factors were analyzed,and the classification management system of high-alert medication was discussed.RESULTS：Our hospital had designed the label for high-alert medication and summarized the risk points.A pyramidal classification management model of high-alert medication had been established initially.In A level,there were the most dangerous drugs,which need to be managed and monitored most,but with less number of varieties;the following degree was regarded as B level,and the lowest risk degree as C level.According to the characteristics,we recommended some management measures,key point and the procedures for different levels.CONCLUSIONS：This system is helpful to improve the medication safety and service of pharmaceutical care.