标准化作业流程在神经外科口服给药管理中的实践

A practice of standard operating procedure in management of oral drug administration for neurosurgical patients

目的探讨标准化作业流程(SOP)在神经外科口服给药管理中实施效果。方法分析住院患者的给药流程,将SOP运用到口服给药管理中。评价SOP实施后(2018年9月1日-9月30日)117例住院患者的口服给药管理质量,并与SOP实施前(2017年9月1日-9月20日) 103例住院患者进行对比。评价指标包括护士对患者身份识别落实率、个人数码助理(PDA)执行率、药物健康教育知晓率和给药错误发生率。结果实施SOP后,患者身份识别落实率、护士PDA执行率、药物健康教育知晓率较实施前升高,差异有统计学意义(P<0.01)。给药错误发生率由实施前为14.56%(15/103),实施后无一例患者发生给药错误。结论实施SOP管理模式,能够降低神经外科口服给药错误发生率,保证患者用药安全。

Objective To evaluate the standard operating procedure(SOP) in oral drug administration among neurosurgical patients. Methods The process of oral drug administration for hospitalized neurosurgical patients was analyzed, and the SOP was adopted to improve the management process. The quality of oral drug administration in 117 patients recruited after implementation of SOP and in 103 patients recruited before implementation of SOP was evaluated. The quality assessment indexes included patient identity recognition, checking by personal digital assistant(PDA), drug administration error, and awareness of drug-related knowledge. Results Rates of patient identity recognition, PDA checking and awareness on drug-related knowledge were increased after implementation of PDA(P<0.05). The rate of drug administration error dropped from 14.56%(15/103) before implementation of PDA to 0 after implementation of SOP. Conclusion The SOP model is effective to reduce the drug administration error and ensure the medication safety for neurosurgical patients in hospital.