摘要
目的探讨追踪方法学理论中的个案追踪管理在神经内科脑卒中用药中的应用价值。方法回顾性分析十堰市中西医结合医院神经内科200例脑卒中患者临床资料。将200例患者随机分为对照组98例(常规管理),观察组102例(个案追踪管理)。比较2种管理方法用药差错、配药时间及药物利用指数(DUI),观察个案追踪管理前后神经内科医护人员工作能力及患者对我科医护人员工作满意度变化情况。结果观察组个案追踪管理后用药差错发生率、平均配药时间及DUI均显著低于对照组(P<0.05)。观察组管理1年后医护工作人员工作能力及患者满意度评分均显著高于对照组(P<0.05)。结论追踪方法学理论中的个案追踪管理能显著降低神经内科脑卒中用药差错发生率,对改进医院整体医疗服务质量及提高患者满意度有积极作用。
Objective To explore the application value of case tracking management in the treatment of stroke in department of neurology of our hospital.Methods Clinical data of 200 stroke patients in department of neurology of our hospital were retrospectively analyzed.200 patients were randomly divided into a control group of 98(routine management)and an observation group of 102(case tracking management).The medication errors,dispensing time and drug utilization index(DUI)of the two management methods was compared,and the changes in the working ability of medical staff in the department of neurology and the patient's satisfaction with the work of medical staff in our department before and after case tracking and management was observed.Results The incidence of medication errors,average dispensing time and DUI in the observation group were significantly lower than those in the control group(P<0.05).The working ability and patient satisfaction scores of medical staff in the observation group were significantly higher than those before and after the control group(P<0.05).Conclusion The case tracking management in the tracking methodology can significantly reduce the incidence of medication errors in neurologic stroke,and has a positive effect on improving the overall medical service quality and improving patients'satisfaction.
作者
吴美海
邓钰杰
兰俊
宋典意
贾秀莲
王铭
WU Meihai;DENG Yujie;LAN Jun;SONG Dianyi;JIA Xiulian;WANG Ming(Department of Neurology,Shiyan Hospital of Integrated Traditional and Western Medicine,Hubei Province,Shiyan 442000,China)
出处
《中国中医药现代远程教育》
2019年第19期59-61,共3页
Chinese Medicine Modern Distance Education of China
基金
湖北省十堰市中西医结合医院“雏鹰计划”院内课题【No.12】
关键词
个案追踪管理
神经内科
脑卒中
用药
中风
case tracking management
neurology
cerebral apoplexy
medication
stroke
