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医院急救药品供应的实用“模块化设计”研究

Practical 'modular design' research of emergency drug supplies in hospitals.

作者信息

Song Chao, Yang Jing, Zhang Xiao-Li, Zheng Lei, Yang Chuan-Ying

机构信息

Institute of Pharmacy, Shandong Traffic Hospital, Jinan, Shandong, China.

出版信息

Eur J Hosp Pharm. 2016 Nov;23(6):320-326. doi: 10.1136/ejhpharm-2015-000833. Epub 2016 Feb 22.

Abstract

OBJECTIVES

To determine an effective framework for supplying emergency drugs under various scenarios using 'modular design' and information technology. Additionally, medicinal safety was improved by combining pharmacy monitoring with a safety alert system for medication.

METHODS

Data from various emergency events and details of the disease related to the incident were analysed using Cluster, Delphi and Decision analyses. The optimal drug combination was determined and then divided into the different modules. We established the 'drug supply expedited system in emergencies' based on the above modules, and we organised emergency drills to verify the system's effectiveness and to improve efficiency. Pharmaceutical care services were performed by rehearsing the unexpected emergency incident and associated pharmaceutical care.

RESULTS

We developed a drug supply framework for 'traffic accidents, poisoning first aid, natural disasters, epidemics and mass disturbances' and established an 'emergency drug supply expedited system'. We quickly equipped the drugs that were needed for the special emergency events, and we developed a 'green channel' between the emergency and drug supply centres. Medication safety was also important for the emergencies, and clinical pharmacists played a role in medicating the safety service personnel. The utility of our findings was demonstrated through several emergency drills.

CONCLUSIONS

In this study, we explored the optimal drug supply and pharmacy assistance models for emergency medicine. The clinical innovation of this study was that we provided a modular supply of medical supplies for traffic accidents. We also established a drug supply information system. This study provided effective reference values for emergency drug therapy.

摘要

目的

确定一个使用“模块化设计”和信息技术在各种场景下供应急救药品的有效框架。此外,通过将药房监测与药物安全警报系统相结合来提高用药安全性。

方法

使用聚类分析、德尔菲法和决策分析对各种紧急事件的数据以及与该事件相关的疾病细节进行分析。确定最佳药物组合,然后将其分为不同模块。我们基于上述模块建立了“紧急情况下药品供应快速系统”,并组织应急演练以验证该系统的有效性并提高效率。通过模拟意外紧急事件及相关药学服务来提供药学服务。

结果

我们制定了针对“交通事故、中毒急救、自然灾害、流行病和群体性骚乱”的药品供应框架,并建立了“紧急药品供应快速系统”。我们迅速配备了特殊紧急事件所需的药品,并在紧急情况与药品供应中心之间开辟了“绿色通道”。用药安全对紧急情况也很重要,临床药师在为安全服务人员用药方面发挥了作用。通过多次应急演练证明了我们研究结果的实用性。

结论

在本研究中,我们探索了急诊医学的最佳药品供应和药学援助模式。本研究的临床创新之处在于我们为交通事故提供了模块化的医疗用品供应。我们还建立了药品供应信息系统。本研究为急诊药物治疗提供了有效的参考价值。

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