住院患者输液安全的药学管理实践创新

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中图分类号 R95 文献标志码 A 文章编号 1001-0408（2025）10-1238-05

DOI 10.6039/j.issn.1001-0408.2025.10.15

Practice innovation in pharmaceutical management for infusion safety in hospitalized patients

CHEN Jie，YOU Man，CAO Pengfei，TAI Wenfeng，MENG Lu，ZHANG Hong，HE Guanghong（PharmacyIntravenous Admixture Services， Luoyang Orthopedic-traumatological Hospital of Henan Province/HenanProvincial Orthopedic Hospital，Henan Luoyang 471002，China）

ABSTRACT OBJECTIVE To establish a pharmaceutical management model for infusion safety in hospitalized inpatients and ensure the safety of drug use. METHODS Our hospital established the standardized management process for infusion scheme， formulated rules for compatibility contraindications in drug combinations. In the form of embedded hospital official account， the infusion scheme and medication guidance WeChat developed by pharmacists are pushed to the mobile phone of inpatients， providing electronic medication guidance services for patients， and forming a pharmaceutical management model for infusion safety of inpatients. RESULTS Our hospital provided a total of 45 291 inpatients with pharmaceutical services including the formulation of individualized infusion scheme and WeChat push infusion scheme and medication guidance as of December 2023. After the implementation of the management model，the intervention rate of pharmacists on the compatibility contraindications in drug combination of long-term medical orders for inpatients increased from 18.25% before implementation to 90.58% （ ），and the satisfaction rate of inpatients increased from 87.50% to 94.50% （ P<0.05 ）. CONCLUSIONS The pharmaceutical management model for infusion safety of hospitalized patients integrates pharmaceutical services throughout the entire process of intravenous medication treatment. Pharmacists can participate in the management of infusion usage while providing qualified finished infusion products， achieving closed-loop management of pharmaceutical services， improving the hospital’s pharmaceutical service capabilities and patient satisfaction， and providing guarantees for the safety and effectiveness of patient medication.

KEYWORDS infusion safety；infusion scheme；WeChat push；medication guidance；hospitalized inpatients

随着医疗体制的深入推进，我国医院药学服务模式正逐步实现“以药品为中心”向“以患者为中心”、“以供应保障为主”向“技术服务为主”的双重转变，标志着“以药养医”的传统运行机制走向终结，药学服务的重要性显著提升，药师在公众安全用药中的作用也越来越凸显。（剩余6905字）