高风险药物:多学科计划,以提高医院的安全
Maria Dolores Canales-Siguero1, Jose Manuel Caro-Teller1, Siria Pablos-Bravo1
1Servicio de Farmacia, Hospital 12 de Octubre, Madrid, España.
概括
一个新的计划通过实施多学科协议,显著改善了医院的高风险药物 (HRM) 安全性. 这一举措加强了药物管理,并促进了患者更强大的安全文化.
科学领域:
- 医疗保健管理的管理
- 患者安全 患者安全
- 临床药房 临床药房
背景情况:
- 高风险药物 (HRM) 由于潜在的错误,造成严重伤害的风险很大.
- 确保HRM的安全管理是医疗保健系统的关键优先事项.
- 本研究详细介绍了一项多学科计划,旨在提高5级医院成人住院患者的HRM安全性.
研究的目的:
- 将国家/国际的人力资源管理安全标准适应当地医院环境.
- 定义人力资源管理管理的专业能力和责任.
- 增加利益相关者参与人力资源管理安全倡议.
- 建立关键绩效指标来评估干预的有效性.
主要方法:
- 一个三个阶段的计划:使用经过验证的自我评估工具进行初始情况分析.
- 通过文献审查和多学科共识制定协议.
- 行动计划的实施,包括传播,监测和更新.
主要成果:
- 制定了包含7项一般措施和29项具体措施以及5项评估指标的协议.
- 一年后:71.5%的HRM获得了自动发行系统,71.36%的处方在24小时内得到了验证.
- 实施了高人字母,自动剂量警报和双重检查警报,导致4,366次药物干预.
结论:
- 该计划作为一个有效的,可转移的模型,用于提高复杂的医院环境中的HRM安全性.
- 该倡议成功地培养了围绕药物管理的安全文化.
- 未来的努力应该集中在一个国家仪表板上,用于医院间的比较和持续改进.
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