GAO Xu, GUAN Shengjiang, MA Juanjuan, et al. Effects of Multiple Interventions on Irrational Compatibility of Traditional Chinese Medicine Injection. [J]. 21(9):1120-1123(2021)
DOI:
GAO Xu, GUAN Shengjiang, MA Juanjuan, et al. Effects of Multiple Interventions on Irrational Compatibility of Traditional Chinese Medicine Injection. [J]. 21(9):1120-1123(2021) DOI: 10.14009/j.issn.1672-2124.2021.09.023.
Effects of Multiple Interventions on Irrational Compatibility of Traditional Chinese Medicine Injection
OBJECTIVE: To investigate the compatibility of medicines in medical orders from the National Clinical Research Base of Traditional Chinese Medicine Hebei Provincial Hospital of Traditional Chinese Medicine( hereinafter referred to as“our hospital”) before and after the implementation of multiple measures
so as to improve the safety and effectiveness of traditional Chinese medicine injection. METHODS: In Jul. 2020
our hospital began to implement multiple measures on irrational medical orders of traditional Chinese medicine injection. Retrospective method was adopted to investigate inpatient medical orders of traditional Chinese medicine injection before intervention( from Jan. to Jun. 2020) and after intervention( from Jul. to Dec. 2020). The irrational compatibility of medical orders was statistically analyzed to compare the irrational compatibility rate of medical orders of traditional Chinese medicine injection and the effectiveness of intervention measures before and after intervention. RESULTS: Before intervention
among 18 917 medical orders of traditional Chinese medicine injection
299 were found to have irrational compatibility
and the irrational compatibility rate of traditional Chinese medicine injection was 1. 58%. After intervention
among 23 593 medical orders of traditional Chinese medicine injection
306 were found to have irrational compatibility
and the irrational compatibility rate of traditional Chinese medicine injection was 1. 30%( 17. 72% lower than before intervention). After intervention
among the irrational compatibility of traditional Chinese medicine injection
the proportion of medical orders decreased the most in the case of incorrect input of medical orders and mixed infusion of Chinese and Western medicines
followed by improper selection of drug dosage and solvent dosage
indicating that multiple measures can effectively improve the irrational compatibility of traditional Chinese medicine injection. CONCLUSIONS: The use of information technology and administrative intervention and other measures of PDCA cycle management to intervene in the compatibility of medicines in medical orders for traditional Chinese medicine injection can effectively improve the level of rational compatibility of traditional Chinese medicine injection and guarantee the medication safety for patients.
关键词
中药注射剂配伍处方审核合理用药国家中医临床研究基地
Keywords
Traditional Chinese medicine injectionCompatibilityPrescription reviewRational drug useNational Clinical Research Base of Traditional Chinese Medicine