“五常法”在肾脏病科高危药品管理中的应用体会-中国药房.pdfVIP

“五常法”在肾脏病科高危药品管理中的应用体会 ＊ 滕海英 ，杨龙玉，蒙雪姣（解放军第303医院肾脏病科，南宁 530021） 中图分类号 R954 文献标志码 A 文章编号 1001-0408（2014）37-3546-03 DOI 10.6039/j.issn. 1001-0408.2014.37.31 摘 要 目的：探讨“五常法”在肾脏病科高危药品管理中的应用效果。方法：通过在肾脏病科成立管理小组和建立培训制度，按 “五常法”要求对该科高危药品进行常组织、常整顿、常清洁、常规范、常自律的管理活动，并评价活动前后的高危药品质量检查结 果和护理人员对高危药品相关知识的知晓率。结果与结论：实施“五常法”后，高危药品管理质量效果明显，高危药品放置不规范、 药品基数不固定等不合格次数从活动前的25次减少为2次，知晓率从68.8％提高到100％（P ＝0.015）。“五常法”可提高患者用药 安全与护理人员的工作效率及其管理意识。 关键词 五常法；高危药品；肾脏病科；护理人员 Application of “5S”Method in the Management of High-risk Drugs in Nephrology Department TENG Hai-ying ，YANG Long-yu ，MENG Xue-jiao （Dept. of Nephrology ，No. 303 Hospital of PLA ，Nanning 530021，China ） ABSTRACT OBJECTIVE ：To explore the effect of “5S”method in the management of high-risk drugs in the nephrology depart- ment. METHODS ：Through establishing management group and training system in nephrology department ，the management of the high-risk drugs was planned to be routinely structured ，systematized ，sanitized ，standardized and self-disciplined （5S）. The quality inspection of high-risk drugs and the awareness rate of nurses to high-risk drugs related knowledge were evaluated before and after activity. RESULTS CONCLUSIONS ：After the implementation of “5S”method ，the quality of high-risk drugs management has been improved significantly ；the cases of nonstandard placement and unfixed base have decreased from 25times before activity to 2 times after activity ，and the awareness rate has increased from 68.8％to 100％ （P ＝0.015）. “5S”method can improve the safety of drug and the efficiency of nurse ，and strengthen management consciousness of nurses. KEYWORDS “5S”method ；High-risk drugs ；Nephrology department ；Nurses 高危药品是指药效显著而迅速、治疗窗较窄、易对人体造 直接执行者和观察者，在整个临床药物治疗过程中始终处于 [1] 成危害的药品，包括高浓度电解质溶液、急救药品、“