团队合作在安全用药管理中的应用效果
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摘要
目的探讨团队合作在安全用药管理中的应用效果。方法选取2014年1月～2017年9月我院的用药错误事件为研究对象,2014年1月～2015年9月整改前按照常规管理方法及工作模式进行管理,2016年1月～2017年9月整改后采取多部门团队合作模式运用管理工具进行管理。比较整改前后用药错误率、不良事件主动上报率及备用药检查合格率。结果整改后的用药错误率明显低于整改前,差异有统计学意义(P<0.05)。整改后的不良事件主动上报率及备用药检查合格率均明显高于整改前,差异有统计学意义(P<0.05)。结论采取团队合作的工作模式,能够建立有效的部门间沟通协调机制,形成安全管理模式,从系统上改进和防控用药管理,提高临床用药的安全性。
Objective To explore the application effect of teamwork in the management of the medication safety.Methods The medication error events in our hospital from January 2014 to September 2017 were selected as subjects.Before the rectification from January 2014 to September 2015, the management was carried out according to the conventional management methods and working modes, and after the rectification from January 2016 to September2017, the management was carried out by the multi-department team cooperation models with the management tools.The rate of medication error events, the rate of active reporting of adverse events, and the qualified rate of stored drugs before and after rectification were compared before and after the rectification. Results The rate of medication error events after the rectification was significantly lower than that before the rectification, and the difference was statistically significant(P<0.05). The rate of active reporting of adverse events and the qualified rate of stored drugs after the rectification were significantly higher than those before the rectification, and the differences were statistically significant(P<0.05).Conclusion The application of teamwork mode can establish an effective inter-department communication and coordination mechanism, form a safety management mode, which improves and prevents the drug management from the system, and improve the safety of clinical medication.
Objective To explore the application effect of teamwork in the management of the medication safety.Methods The medication error events in our hospital from January 2014 to September 2017 were selected as subjects.Before the rectification from January 2014 to September 2015, the management was carried out according to the conventional management methods and working modes, and after the rectification from January 2016 to September2017, the management was carried out by the multi-department team cooperation models with the management tools.The rate of medication error events, the rate of active reporting of adverse events, and the qualified rate of stored drugs before and after rectification were compared before and after the rectification. Results The rate of medication error events after the rectification was significantly lower than that before the rectification, and the difference was statistically significant(P<0.05). The rate of active reporting of adverse events and the qualified rate of stored drugs after the rectification were significantly higher than those before the rectification, and the differences were statistically significant(P<0.05).Conclusion The application of teamwork mode can establish an effective inter-department communication and coordination mechanism, form a safety management mode, which improves and prevents the drug management from the system, and improve the safety of clinical medication.
引文
[1]Polepalli RB,Belknap SM,Li Z,et al.Automatically recognizing medication and adverse event information from food and drug administration′s adverse event reporting system narratives[J].JMIR Med Inform,2014,2(1):1-10.
[2]李淑英,王春华,贺宇宏,等.团队合作在血标本分析前质量管理中的实践与效果[J].中国现代医学杂志,2016,26(11):137-140.
[3]李红梅,吴焕卿,赵春霞,等.多部门联合干预模式在多重耐药菌医院感染防控中的作用[J].中国当代医药,2015,22(1):179-181.
[4]熊年秀,吴敏,涂群,等.团队管理模式在急诊护理管理中的应用效果[J].中国当代医药,2017,24(36):137-139.
[5]Tilyard M,Dovey S,Hall K.Avoiding and fixing medical errors in general practice:prevention strategies reported in the Linnaeus Collaboration′s Primary Care International Study of Medical Errors[J].N Z Med J,2005,118(1208):U1264.
[6]Kohn LT,Corrigan JM,Donaldson MS.To err is human:building a safer health system[M].Washington,D.C.:National Academy Press,2000:2.
[7]合理用药国际网络(INRUD)中国中心组临床安全用药组,中国药理学会药源性疾病学专业委员会,中国药学会医院药学专业委员会,等.中国用药错误管理专家共识[J].药物不良反应,2014,16(6):321-326.
[8]汪晓攀.临床用药护理风险与对策[J].中国临床护理,2011,3(1):62-63.
[9]崔远航,郭宪民,张春艳,等.团队资源管理在急诊卒中溶栓绿色通道中的应用[J].中国实用护理杂志,2016,32(36):2842-2847.
[10]周和玲,范卉,吕敏敏.团队协作模式在老年痴呆病人安全管理中的实践[J].全科护理,2016,14(13):1366-1368.
[11]佴晓莉.团队合作在急诊护理管理中的应用[J].中国卫生产业,2017,14(17):156-157.
[12]张晓静,张会芝,张洪君,等.基于系统论的护理不良事件管理模式构建与探讨[J].中国医院管理,2017,37(2):68.
[13]汪卓赟,鲁超,王玉,等.基于JCI理念的医院安全文化建设实施效果分析[J].安徽医学,2018,39(3):355-359.
[14]崔颖,席修明,张进生,等.医院安全文化及其改进策略的国外研究进展[J].中国医院,2015,19(7):39-42.
[15]Mardon RE,Khanna K,Sorra J,et al.Exploring relationships between hospital safety culture and adverse events[J].J Pat Saf,2010,6(4):226-232.
[16]崔颖,席修明,张进生,等.医院不良事件报告制度的实施效果探析[J].中国医院管理,2015,35(6):63-65.
[17]贾英雷,刘鹤,袁建峰,等.医院患者安全文化认知现状及影响因素研究[J].中国医院管理,2017,37(8):32-34.
[18]Joint Commission on Accreditation of Healthcare Organization.Sent inel event statistics data-root causes by event type(2004-2012)[EB/OL].(2013-02-23)[2014-03-25].http://www.joint-commission.org/Sentinel_Event_Statistics.
[19]刘永宁,张卫国.医疗模式转型中团队医疗的理念和实践[J].医学与哲学,2016,37(10):90-93.
[2]李淑英,王春华,贺宇宏,等.团队合作在血标本分析前质量管理中的实践与效果[J].中国现代医学杂志,2016,26(11):137-140.
[3]李红梅,吴焕卿,赵春霞,等.多部门联合干预模式在多重耐药菌医院感染防控中的作用[J].中国当代医药,2015,22(1):179-181.
[4]熊年秀,吴敏,涂群,等.团队管理模式在急诊护理管理中的应用效果[J].中国当代医药,2017,24(36):137-139.
[5]Tilyard M,Dovey S,Hall K.Avoiding and fixing medical errors in general practice:prevention strategies reported in the Linnaeus Collaboration′s Primary Care International Study of Medical Errors[J].N Z Med J,2005,118(1208):U1264.
[6]Kohn LT,Corrigan JM,Donaldson MS.To err is human:building a safer health system[M].Washington,D.C.:National Academy Press,2000:2.
[7]合理用药国际网络(INRUD)中国中心组临床安全用药组,中国药理学会药源性疾病学专业委员会,中国药学会医院药学专业委员会,等.中国用药错误管理专家共识[J].药物不良反应,2014,16(6):321-326.
[8]汪晓攀.临床用药护理风险与对策[J].中国临床护理,2011,3(1):62-63.
[9]崔远航,郭宪民,张春艳,等.团队资源管理在急诊卒中溶栓绿色通道中的应用[J].中国实用护理杂志,2016,32(36):2842-2847.
[10]周和玲,范卉,吕敏敏.团队协作模式在老年痴呆病人安全管理中的实践[J].全科护理,2016,14(13):1366-1368.
[11]佴晓莉.团队合作在急诊护理管理中的应用[J].中国卫生产业,2017,14(17):156-157.
[12]张晓静,张会芝,张洪君,等.基于系统论的护理不良事件管理模式构建与探讨[J].中国医院管理,2017,37(2):68.
[13]汪卓赟,鲁超,王玉,等.基于JCI理念的医院安全文化建设实施效果分析[J].安徽医学,2018,39(3):355-359.
[14]崔颖,席修明,张进生,等.医院安全文化及其改进策略的国外研究进展[J].中国医院,2015,19(7):39-42.
[15]Mardon RE,Khanna K,Sorra J,et al.Exploring relationships between hospital safety culture and adverse events[J].J Pat Saf,2010,6(4):226-232.
[16]崔颖,席修明,张进生,等.医院不良事件报告制度的实施效果探析[J].中国医院管理,2015,35(6):63-65.
[17]贾英雷,刘鹤,袁建峰,等.医院患者安全文化认知现状及影响因素研究[J].中国医院管理,2017,37(8):32-34.
[18]Joint Commission on Accreditation of Healthcare Organization.Sent inel event statistics data-root causes by event type(2004-2012)[EB/OL].(2013-02-23)[2014-03-25].http://www.joint-commission.org/Sentinel_Event_Statistics.
[19]刘永宁,张卫国.医疗模式转型中团队医疗的理念和实践[J].医学与哲学,2016,37(10):90-93.