确定北卡罗来纳州医院对标准化输液和度的需求
Andrew T Lucas1, Erinn Rowe2, Stephen F Eckel3,4
1Division of Pharmacotherapy and Experimental Therapeutics, University of North Carolina at Chapel Hill (UNC) Eschelman School of Pharmacy, Chapel Hill, North Carolina.
Hospital pharmacy
|May 15, 2024
概括
在北卡罗来纳州医院中对静脉注射 (IV) 药物度和剂量单位进行标准化,可以显著降低药物变异性. 该倡议旨在提高患者的安全性和药物管理的一致性.
科学领域:
- 药理学 药理学是指药理学的学科.
- 医疗保健服务研究 医疗服务研究
- 患者安全 患者安全
背景情况:
- 美国卫生系统药剂师协会 (ASHP) 在2013年推了标准化药物度和剂量单位.
- 医院采用静脉注射 (IV) 溶液标准化正在增加,但往往仍然局部化.
- 有限的机构间标准化阻碍了更广泛地采用最佳实践.
研究的目的:
- 评估北卡罗来纳州医院当前的成人IV标准化实践.
- 为了在各机构中比较现有的IV标准化政策.
- 提出并评估标准化静脉注射度和剂量单位对减少变异性的影响.
主要方法:
- 2013年秋季,向北卡罗来纳州的医院药房领导人分发了一项自愿调查.
- 参与者提交了成人IV标准度和剂量指南.
- 数据被收集和分析以确定趋势和比较政策.
主要成果:
- 18家医院和卫生系统参与了调查,报告了84种药物的255多种度.
- 仅仅高风险药物就有135个独特的度.
- 拟议的标准化可以将药物度减少65%以上,剂量单位变化减少21%以上.
结论:
- 全州对静脉注射药物度和剂量单位的标准化可以降低治疗变异性.
- 实施标准化实践促进了更安全的药物管理.
- 一致的静脉注射疗法在整个医疗保健系统中增强了患者护理.
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