门急诊静脉输注中药注射剂环节的质量控制与管理效果

目的:加强对门急诊输液室护士在静脉输注中药注射剂(traditional Chinese medicine injection,TCMI)输液过程中的环节管理,减少静脉输注TCMI的药品不良反应(adverse drug reaction,ADR)发生率.方法:总结导致静脉输注TCMI的ADR发生的因素,制订并落实护士配液的相关制度,执行《药品使用说明》的相关要求,加强对护士的培训和管理,将这些措施应用于门急诊输液患者的治疗和护理的工作中.结果:加强静脉输注TCMI的护理环节管理后,望京医院门急诊输注TCMI的不良反应发生率由2013年的0.024％,降至2015年的0％.结论:通过加强对护士的培训、对患者的告知和强化护理安全等多个环节的管理,可以有效减少TCMI在使用过程中ADR的发生率.

Quality control and management of traditional Chinese medicine injection in intravenous infusion procedure at outpatient and emergency department

Objective:To strengthen the management at outpatient and emergency infusion room for nurses in traditional Chinese medicine (TCM) working with intravenous injection,so as to reduce the rate of adverse drug reactions (ADR) and TCMI.Methods:We summarized the factors of ADR venous infusion of TCMI,established and implemented relevant nurse dosing system,followed by "Drugs Usage Instructions" and related requests,to strengthen nurses management and training.We applied all these measurements in outpatient and emergency patient treatment care work of our hospital.Results:After strengthening the management of intravenous injection of TCM,the rate of our hospital emergency infusion of TCM injection ADR has dropped from 0.024％ in 2013 to 0％ in 2015.Conclusion:Strengthening nursing training,patient information and nursing securities,can greatly reduce the injection of TCM adverse reaction