一般手术患者的药物管理在外科手术期间通过口服无效:质量改善研究
1North Manchester General Hospital, Manchester University NHS Foundation Trust, Manchester, UK.
Journal of perioperative practice
|December 27, 2023
概括
优化外科手术期间药物管理对于手术患者至关重要. 将护理人员纳入质量改善计划显著提高了药物管理,改善了患者的康复和结果.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 外科手术患者管理
- 临床药房实践 临床药房实践
背景情况:
- 对零口服患者的外科手术期间药物管理往往不理想.
- 药物管理不足可能导致恢复时间延长,增加发病率和死亡率.
- 当前的做法可能与既定的指导方针不一致,例如英国临床药学协会手册的外科手册.
研究的目的:
- 为了提高一般手术患者的外科手术期间的药物管理.
- 实施基于证据的推,在术后期为药物管理.
- 评估多学科团队教育对药物管理质量的影响.
主要方法:
- 一项在一家拥有800张床位的普通医院进行的质量改进研究,涉及一般外科患者.
- 教育干预侧重于医生和非医疗处方人员的术后药物管理.
- 扩大教育干预的范围,包括护理人员.
- 在干预之前和之后对药物管理实践的评估.
主要成果:
- 医生和非医疗处方人员的初始教育导致药物管理的无意义改善.
- 将护士人员纳入教育干预的过程导致了术后药物管理的统计学上显著改善.
- 该研究表明,更广泛的团队参与具有可衡量的积极影响.
结论:
- 多学科团队的参与,特别是包括护理人员,对于有效的术后药物管理至关重要.
- 药物管理中的质量改进计划需要全面的团队参与,以获得最佳的结果.
- 遵守既定的指导方针,如英国临床药学协会手册,可以指导实践改进.
相关概念视频
Peptic Ulcer Disease V: Surgical Management and Nursing Care
308
Surgical management and nursing care are crucial in treating Peptic Ulcer Disease (PUD). Here is an organized and enhanced overview of the surgical interventions and the associated nursing care for PUD:
Surgical Interventions for Peptic Ulcer Disease
Surgical Interventions for Peptic Ulcer Disease
308
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
88
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
88
Enteral Nutrition I: Orogastric and Nasogastric Feeding
292
Enteral nutrition delivers nutrients directly to the stomach or small intestine through a tube. This method is appropriate for patients who cannot eat but still have a functioning digestive system. It is also beneficial for individuals with swallowing difficulties, anorexia, malabsorption, or those who have undergone gastrointestinal (GI) surgery.
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
Orogastric (OG) and nasogastric (NG) feeding are two standard methods used for enteral nutrition. Enteral nutrition is often preferred over...
292
Drug Delivery: Enteral Route
456
The enteral drug administration involves three primary routes: oral, sublingual, and buccal. Oral ingestion is the most prevalent, safe, economical, and convenient method for drug administration. However, it has certain drawbacks, including limited absorption due to the drug's low water solubility or poor membrane permeability, possible emesis from GI mucosa irritation, destruction of drugs by digestive enzymes or low gastric pH, and irregular absorption along with food or other drugs.
456
Enteral Nutrition II: Nasointestinal and Gastrostomy Feeding
152
Enteral nutrition encompasses various methods of delivering nutrition directly to the gastrointestinal (GI) tract, bypassing traditional oral intake. It is particularly beneficial for patients who cannot eat by mouth but have a functioning digestive system. Key methods include nasointestinal feeding, gastrostomy, and jejunostomy, each suited to different clinical scenarios based on the patient's needs and condition.
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
Nasointestinal Feeding
Nasointestinal feeding involves placing a tube...
152
Tonsillitis II: Management
114
This lesson will focus on the different treatment options for managing tonsillitis, which typically depend on the cause and severity.
114


