摘要
目的:评价输液顺序智能调控对促进静脉合理用药的效果。方法:在智能提醒人工标注输液顺序的基础上,采用马尔科夫链机器学习法实现输液顺序智能调控。选取合肥市滨湖医院2017年1-9月164800例住院患者的用药医嘱为输液顺序智能调控前样本,2018年1-12月264600例住院患者的用药医嘱为输液顺序智能调控后样本。比较调控前后配伍禁忌、储存时限、给药频次、时辰药理学、预防用药、药物相互作用、辅助用药、静脉刺激性药物的输液顺序正确率以及冲管次数、冲管输液费用、输液管内液体性状变化情况。结果:调控后配伍禁忌、储存时限、给药频次、时辰药理学、药物相互作用、辅助用药的输液顺序正确率均显著高于调控前,预防用药、静脉刺激性药物的输液顺序正确率以及冲管次数、冲管输液费用、输液管内液体变化例数(占比)均显著低于调控前(P<0.001)。结论:输液顺序智能调控可一定程度地提高患者静脉用药顺序的合理性。
OBJECTIVE:To evaluate the effects of infusion sequence regulation on the promotion of intravenous rational drug use.METHODS:The intelligent control of infusion sequence was realized with Markov chain machine learning method on the basis of intelligent reminder manual labeling infusion sequence.Selected from Binhu Hospital of Hefei during Jan.to Sept.2017,164800 inpatients’medication orders were collected as data before intelligent control of infusion sequence,and 264600 inpatients’medication orders were collected as data after intelligent control of infusion sequence.The correct rate of incompatibility,storage time limit,administration frequency,chronopharmacology,preventive drugs,drug interaction,auxiliary drugs and infusion sequence for intravenous irritant drugs were compared before and after regulation;the times of flushing tube,the cost of flushing tube infusion and the change of liquid property in the infusion tube were compared before and after regulation.RESULTS:The correct rate of incompatibility,storage time limit,administration frequency,chronopharmacology,drug interaction and infusion sequence for auxiliary drugs after regulation were significantly higher than before regulation;the correct rate of infusion sequence for preventive drugs and intravenous irritant drugs,the times of flushing tube,the cost of flushing tube infusion and the case number of the liquid change(proportion)in infusion tube were significantly lower than before regulation(P<0.001).CONCLUSIONS:Intelligent regulation of infusion sequence can improve the rationality of intravenous medication sequence to a certain extend.
作者
邱季
潘爱红
杨樟卫
邓婷婷
刘婷
刘云洁
朱文靖
戴夫
QIU Ji;PAN Aihong;YANG Zhangwei;DENG Tingting;LIU Ting;LIU Yunjie;ZHU Wenjing;DAI Fu(Dept.of Pharmacy,Binhu Hospital of Hefei,Hefei 231200,China;Dept.of Nursing,Binhu Hospital of Hefei,Hefei 231200,China;Dept.of Information,Shanghai Fourth People’s Hospital,Shanghai 200082,China;Sichuan Kelun Pharmaceutical Co.,Ltd.,Chengdu 610071,China;Pharmacy Intravenous Admixture Services,Hefei Cancer Hospital,Chinese Academy of Sciences,Hefei 230031,China;Hefei First People’s Hospital,Hefei 230061,China)
出处
《中国药房》
CAS
北大核心
2020年第4期495-499,共5页
China Pharmacy
基金
安徽省科学技术厅重点研究和开发计划项目(No.1804h08020276)
关键词
静脉用药
输液顺序智能调控
输液顺序
正确性
Intravenous medication
Intelligent regulation of infusion sequence
Infusion sequence
Correctness
