基于安全预警与策略优化理念的高危药品管理探讨

Discussion on High-risk Drugs Management Based on Concept of Safety Early Warning and Strategy Optimization

目的 探讨基于安全预警与策略优化管理模式的麻醉科高危药品管理。方法 2020年1月至2021年12月我院麻醉科对高危药品实施安全预警理念下策略优化管理模式,选择2017年1月至2019年12月我院麻醉科常规管理高危药品作为干预前进行对比。比较干预前后护士对高危药品的认知评分及高危药品管理达标情况,记录不良事件发生情况。结果 干预后,护士对高危药品的认知评分以及高危药品管理达标评分均高于干预前,差异有统计学意义(p<0.05);干预后不良事件的发生率为1.92%,低于干预前的8.39%,差异有统计学意义(p<0.05)。结论 安全预警理念下策略优化管理模式能提高麻醉科护士对高危药品的认知水平及管理质量,降低不良事件发生率。

Objective To explore the management of high-risk drugs in anesthesiology department based on safety early warning and strategy optimization management mode. Methods From January 2020 to December 2021, the anesthesiology department of our hospital implemented the strategy optimization management mode under the concept of safety early warning to highrisk drugs.The routine management of high-risk drugs in anesthesiology department in our hospital from January 2017 to December 2019, was selected as a comparison before intervention. Before and after the intervention, nurses' cognitive scores of high-risk drugs and high-risk drugs management standards were compared, and adverse events were recorded. Results After the intervention, the nurses' cognitive scores of high-risk drugs and high-risk drugs management standards were higher than those before the intervention, and the difference was statistically significant(p0.05). The incidence of adverse events after intervention was 1.92%, which was lower than that before intervention(8.39%), and the difference was statistically significant(p0.05). Conclusion The strategy optimization management mode under the concept of safety early warning can improve the cognitive level and management quality of anesthesiologists on high-risk drugs, and reduce the incidence of adverse events.