我院医务人员对高危药品认知现状的调查分析

目的:评估我院医务人员对高危药品相关知识的掌握情况,为加强高危药品规范化管理、保障患者用药安全提供参考。方法:采用随机抽样法选取我院部分医务人员作为研究对象,采用自行设计的问卷对其进行高危药品相关知识调查并就调查结果进行分析。结果:共发放问卷245份,回收有效问卷225份,有效回收率为91.84%。结果显示,受访医务人员中有69.61%的医师、72.62%的护士和71.79%的药师明确高危药品的概念;对高危药品的品种能够准确辨别的医师仅为4.90%,护士为20.24%,药师为15.38%;约20%的受访医务人员对于科室建立的高危药品风险防范措施不清楚;用药差错报告的意愿率为88.44%;对高危药品知识的需求途径主要是专题讲座,占受访医务人员的88.00%;最易发生风险的前5类高危药品分别为高渗电解质注射液、胰岛素制剂、肾上腺素受体激动药、抗凝血药、抗心律失常药。结论:我院医务人员对高危药品的认识存在一定不足,对高危药品风险防范意识相对薄弱。建议医疗卫生机构加强医务人员高危药品相关知识的培训,提高医务人员对高危药品的认知程度和警惕性,使其牢记风险防范措施,减少或杜绝由此引起的严重不良事件的发生。

Investigation and Analysis of the Cognitive Situation of Medical Personnel about High-alert Drugs in Our Hospital

OBJECTIVE： To evaluate the cognition of medical personnel about the relative knowledge of high-alert drugs in our hospital, and to enhance high-alert medications normalizing management, to ensure safe drug use of patients. METHODS： Questionnaires were designed to survey medical personnel on the knowledge related to high-alert drugs in our hospital by randomized sampling, and the investigation results were analyzed. RESULTS： A total of 245 questionnaires were issued, and 225 questionnaires were returned effectively with a return rate of 91.84%. 69.61% of doctors, 72.62% of nurses and 71.79% of pharmacists were clear about the concept of high-alert drugs; only 4.90% of doctors, 20.24% of nurses and 15.38% of pharmacists could accurately identify the varieties of high-alert drugs; around 20% of medical personal were not clear about the risk prevention measures established by the departments; the willingness of reporting medication errors accounted for 88.44%; lecture was the main demand approach for the knowledge of high-alert drugs, which was accounted for 88.00% of the medical personnel; top 5 high-alert drugs were Concentrated electrolytes injection, insulin preparations, adrenoceptor agonists, anticoagulants, antiarrhythmic drugs, respectively. CONCLUSIONS： The findings suggest that the medical personnel have some deficiency for the knowledge of high-alert drugs, and the consciousness of risk prevention measures are relatively poor. Medical institutions should be suggested to enhance the training of high-alert drugs for the medical personnel, improve the cognition and alertness of medical staff to master risk prevention measures and decrease the occurrence of adverse drug event.