临沂市24家医疗机构用药安全现状的调查分析
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篇名: 临沂市24家医疗机构用药安全现状的调查分析
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摘要: 目的:了解临沂市24家公立医疗机构(简称“医院”)的用药安全现状及城乡用药安全的差异。方法:应用美国医疗安全协会(ISMP)等制定的ISMP自评表[包括10个关键元素(Ⅰ-Ⅹ,如“Ⅰ患者信息”“Ⅱ药品信息”)、20个核心特征及270个评估项目]对临沂市24家医院进行调查;统计并分析各医院及其中城市与乡村医院10个关键元素的实施率,对其中实施率最低的关键元素列出前10个评估项目;比较城市与乡村医院实施率差异最大的关键元素及对前10个评估项目进行排序;并采用雷达图进行直观的比较与分析。结果:共收集到24家医院的调查结果,其中城市和乡村医院各有12家;24家医院10个关键元素之间的实施率相差较大,实施率最高的是“Ⅶ环境因素、工作流程及人员配备模式”(56.55%),最低的是“Ⅱ药品信息”(26.77%);在“Ⅱ药品信息”的33个评估项目中,实施率最低的是项目36(12.50%,与阿片类药物相关的内容)。在12家城市医院与12家乡村医院10个关键元素的实施率中,差异最大的关键元素是“Ⅳ药品标签、包装和命名”(相差44.44%,59.72% vs. 15.28%),差距最大的评估项目为“Ⅸ患者教育”中的项目199(与患者主动参与用药相关)差异最大(城市医院为58.33%,乡村医院为4.17%)。结论:对临沂市24家医院用药安全的调查结果表明,各医院在各项上均尚待改进,特别是在“Ⅱ药品信息”的实施上;乡村医院应加强对患者的用药教育。
ABSTRACT: OBJECTIVE: To investigate the current situation of medication safety in 24 public medical institutions(referred to as “hospital”) from Linyi city and the differences in medication safety between urban and rural areas. METHODS: ISMP self-assessment scale [including 10 key elements (Ⅰ-Ⅹ,such as “Ⅰ patient’s information” “Ⅱ drug information”), 20 key characteristics and 270 evaluation projects] developed by Institute of Safe Medication Practices was used to investigate 24 hospitals in Linyi city. The implementation rates of 10 key elements in urban and rural hospitals were analyzed statistically, and the top 10 evaluation projects were listed for the key elements with the lowest implementation rate. The key elements and top 10 evaluation projects with the largest difference in the implementation rate were compared between urban and rural hospitals. Radar maps were used for comparison and analysis intuitively. RESULTS: A total of 24 hospitals were surveyed, including 12 in urban and 12 in rural areas; there were significant differences in the implementation rate of 10 key factors among 24 hospitals; the elements with the highest implementation rate were “Ⅶ environmental factors, workflow and staffing pattern”(56.55%);the elements with the lowest implementation rate was “Ⅱ drug information” (26.77%). Among 33 evaluation projects of “Ⅱ drug information”, the implementation rate of No. 36 project (12.50%, related to opioids) was the lowest. Among the implementation rates of 10 key elements in 12 urban hospitals and 12 rural hospitals, the key elements with the greatest difference was “Ⅳ drug label, packaging and naming” (differing by 44.44%,59.72% vs. 15.28%); Among“Ⅸ patient education”evaluation project with the greatest gap, there was the greatest difference in No. 199 project (related to patients’ active participation in medication, 58.33% in urban, 4.17% in rural). CONCLUSIONS: The results of medication safety investigation in 24 hospitals from Linyi city show that all the item in each hospital needs to be improved expecially in the implementation of “Ⅱ drug information”. Rural hospitals should strengthen medication education for patients.
期刊: 2019年第30卷第5期
作者: 邱彦龙,王涛,张雪松,孙文强,陈燕,赵敏,李峥嵘,孙夫东
AUTHORS: QIU Yanlong,WANG Tao,ZHANG Xuesong,SUN Wenqiang,CHEN Yan,ZHAO Min,LI Zhengrong,SUN Fudong
关键字: 临沂市;ISMP自评表;城市医院;乡村医院;用药安全;雷达图
KEYWORDS: Linyi city; ISMP Self-assessment scale;Urban hospital; Rural hospital; Medication safety;Radar chart
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