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河北省中医院河北省中药制剂产业技术研究院
纸质出版日期:2021,
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高旭, 关胜江, 马娟娟, 等. 多举措干预中药注射剂不合理配伍的效果探讨[J]. 中国医院用药评价与分析, 2021,21(9):1120-1123.
GAO Xu, GUAN Shengjiang, MA Juanjuan, et al. Effects of Multiple Interventions on Irrational Compatibility of Traditional Chinese Medicine Injection[J]. 2021,21(9):1120-1123.
高旭, 关胜江, 马娟娟, 等. 多举措干预中药注射剂不合理配伍的效果探讨[J]. 中国医院用药评价与分析, 2021,21(9):1120-1123. DOI: 10.14009/j.issn.1672-2124.2021.09.023.
GAO Xu, GUAN Shengjiang, MA Juanjuan, et al. Effects of Multiple Interventions on Irrational Compatibility of Traditional Chinese Medicine Injection[J]. 2021,21(9):1120-1123. DOI: 10.14009/j.issn.1672-2124.2021.09.023.
目的:了解多举措施实施前后国家中医临床研究基地河北省中医院(以下简称"我院")中药注射剂配伍使用情况
提高中药注射剂配伍的安全性和有效性。方法:2020年7月我院开始采用多举措干预中药注射剂不合理医嘱。采用回顾性的方法
调查干预前(2020年1—6月)、干预后(2020年7—12月)的中药注射剂住院医嘱
对不合理配伍医嘱进行统计分析
对比干预前后中药注射剂医嘱配伍不合理率及干预措施的有效性。结果:干预前
18 917组中药注射剂医嘱中
不合理配伍医嘱299组
中药注射剂医嘱配伍不合理率为1.58%;干预后
23 593组中药注射剂医嘱中
不合理配伍医嘱306组
中药注射剂医嘱配伍不合理率为1.30%(不合理率较干预前降低17.72%)。干预后
中药注射剂不合理配伍医嘱中
医嘱录入错误、中西药混合输注的医嘱数构成比降幅最大
其次为药物剂量选择不当、溶剂剂量选择不当医嘱
表明多举措并用能有效改善中药注射剂医嘱不合理配伍情况。结论:采用信息化手段和行政干预等多种措施PDCA循环管理
对中药注射剂配伍医嘱进行干预
可有效地提高中药注射剂合理配伍水平
为患者用药安全提供保障。
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.
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
Traditional Chinese medicine injectionCompatibilityPrescription reviewRational drug useNational Clinical Research Base of Traditional Chinese Medicine
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