药物医嘱全生命周期追溯对护理人员工作的影响

目的：评价药物医嘱全生命周期追溯对护士工作的影响。方法以护士工作站信息化及Itouch条形码核对为基础，通过设计药物医嘱追溯模块，实施药物医嘱执行追溯规范。比较实施前后护士医嘱处理时间及用药安全。结果实施后，护士医嘱处理时间平均每床日（4．36±1．28） min缩减为（0．97±0．34）min，差异有统计学意义（t＝20．181，P＜0．01）；护士医嘱处理错误率从每千床日0．74‰下降至0．15‰，给药错误率从每千床日1．33‰降至0．35‰，药物漏执行率从每千床日1．24‰下降至0．06‰，差异均有统计学意义（χ2值分别为13．548，19．073，36．347；P＜0．05）。结论实施药物医嘱全生命周期追溯管理，提高了工作效率，降低了护理缺陷的发生，提升了工作质量，保障了患者安全。

Effect of casting back the whole life cycle of medication orders on the nurse work

Objective To evaluate the effect of casting back the whole life cycle of medication orders on the nurse work .Methods Sixty-two nurses were surveyed by the self-designed questionnaire .The standard of casting back medication orders was carried out through the design of the module for casting back medication orders based on the information of nurse workstation and the check of Itouch bar code .The time of carrying out the medication orders and the medication safety were compared before and after the implementation . Results After the implementation , the time of carrying out the doctor ’ s advice for every bed on daily decreased from （4.36 ±1.28）min to （0.97 ±0.34）min, and the difference was statistically significant （t=20.181,P〈0.01）.The error rate of carrying out the doctor ’ s advice for every thousand beds on daily decreased from 0.74‰to 0.15‰, and the error rate of medication decreased from 1.33‰ to 0.35‰, and leakage rate of medication decreased from 1.24‰to 0.06‰, and the differences were statistically significant （χ2 =13.548, 19.073, 36.347, respectively; P〈0.05）.Conclusions Implementation of the management of casting back the whole life cycle of medication orders can improve the work efficiency , and decrease the occurrence of nursing defects, and ensure the safety of patients .