探讨药师在高危药品管理中的作用

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

目的探讨药师在医疗机构内高危药品管理的作用和具体方法。方法参考美国ISMP公布的2012年版最新高危药品目录和中国药学会医院药学专业委员会2012年推荐目录,并查阅文献搜集国内多家医疗机构的管理经验和策略。结果阐述了高危药品概念、产生的背景和最新的国内外公布的药品分类和管理办法;总结了目前国内医疗机构在高危药品管理上的新理念、技术和举措;分析了药师在高危药品管理中的作用;介绍了我院开展高危药品管理的实践及体会。结论建立高危药品安全管理体系是非常重要的,建议各医疗机构应结合推荐目录和自身特点制定本机构内的高危药品目录,建立符合自身的管理策略,充分发挥药师的作用。

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.