外围插入的中央导管的药物验证:实施四年
Virginie Tournayre1, Julien Frandon1, Maria Pitard1
1University Hospital Centre Nimes, Nimes, France.
European journal of hospital pharmacy : science and practice
|October 8, 2025
概括
外围插入中心导管 (PICC) 的药剂师主导验证优化了设备的使用,并提高了患者的安全性. 这种方法是可持续的,尽管更广泛的实施需要解决资源和培训需求.
科学领域:
- 临床药房 临床药房
- 医疗器械管理 医疗器械管理
- 患者安全 患者安全
背景情况:
- 周围插入的中央导管 (PICC) 对于长期静脉注射治疗至关重要,但具有感染和血栓形成等风险.
- 在临床环境中,优化PICC使用和尽量减少并发症至关重要.
研究的目的:
- 评估药剂师领导的PICC请求分析和验证的可持续性.
- 调查法国医疗机构PICC管理的组织.
主要方法:
- 一项回顾性观察研究分析了2018年4月至2021年10月期间的5503个PICC请求.
- 药物干预 (PI) 被分类,一项国家调查评估了法国医院的PICC实践.
主要成果:
- 近60%的PICC请求需要药物干预,共计4406个PI.
- 药剂师拒绝了4.1%的申请,而14.0%的实习被医疗团队取消.
- 全国调查显示,尽管有广泛的PICC经验,但药物验证的采用有限.
结论:
- 药剂师领导的PICC验证提高了患者的安全性和设备的使用,证明了其价值和可持续性.
- 更广泛的实施需要解决资源限制,提高意识,并提供频繁的培训.
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