Krämer Irene, Goelz Rangmar, Gille Christian, Härtel Christoph, Müller Rachel, Orlikowsky Thorsten, Piening Brar, Schubert Sebastian, Simon Arne, Wolf Katharina, Rösner Bianka, Exner Martin
Department of Pharmacy, University Medical Center, Johannes Gutenberg University Mainz, Mainz, Germany.
Department of Neonatology, Tübingen University Children's Hospital, Tübingen, Germany.
GMS Hyg Infect Control. 2023 May 3;18:Doc10. doi: 10.3205/dgkh000436. eCollection 2023.
This position paper, developed by an interdisciplinary expert group of neonatologists, paediatric infectious disease physicians, clinical pharmacists and specialists for the prevention and control of nosocomial infections, describes the "Good handling practice of medicines parenterally administered to patients on NICUs". It takes equal account of patient safety and the specialties of neonatal intensive care regarding feasibility and proportionality. The overall concept is perceived as a "learning system", in which open communication within the health-care team relating to medication errors and critical incidents enables continuous development and improvement to ensure patient safety. In our opinion, pharmacists, who are responsible for the supply of ready-to-administer parenteral medicinal products for neonatal intensive care patients, as well as the hygiene staff responsible on site are integral parts of the interdisciplinary treatment team. Risks of the current clinical practice of parenteral treatment of NICU patients are discussed in detail and recommendations for safety-relevant procedures are given.
这份立场文件由新生儿科医生、儿科传染病医生、临床药剂师以及医院感染预防与控制专家组成的跨学科专家组制定，阐述了“新生儿重症监护病房（NICU）患者静脉用药的良好操作规范”。它在可行性和相称性方面兼顾了患者安全以及新生儿重症监护的特殊性。整体理念被视为一个“学习系统”，在这个系统中，医疗团队内部就用药错误和危急事件进行开放沟通，能够实现持续发展和改进，以确保患者安全。我们认为，负责为新生儿重症监护患者供应即用型静脉注射药品的药剂师以及现场负责的卫生工作人员是跨学科治疗团队的重要组成部分。文中详细讨论了目前NICU患者静脉治疗临床实践中的风险，并给出了与安全相关程序的建议。
