Exploration of “six-step”management mode to reduce the utilization rate of intravenous infusion in inpatients / 中国药房

OBJECTIVE To explore and establish a long-term mechanism for rational control of intravenous fluids in hospitals. METHODS On the basis of the establishment of rules and regulations， through the exploration and implementation of the core technical strategy of “six-step method”， a new mode of intravenous infusion control was established. The contents of the “six-step method” were as follows： the first step was to sort out the diseases that did not require intravenous infusion； the second step was to sort out the alternative drugs/dosage forms； the third step was to sort out the alternative routes of infusion； the fourth step was to develop drug specifications； the fifth step was to explore the personalized medication needs of clinical departments； the sixth step was to develop a department-specific integrated infusion regimen. The utilization rate of intravenous fluids in inpatients and the average daily amount of intravenous fluids per bed in inpatients were used as the main indicators to evaluate the control effect. RESULTS The comparison of the average values of three months before and after the implementation of the “six-step” management mode in the department of thoracic surgery of our hospital showed that after management and control， the average utilization rate of intravenous fluids in inpatients decreased by 1.74%， the average daily use of intravenous fluids in inpatients per bed decreased by 0.30 bags/bottle， and the per capita use of infusion drugs under key control gradually decreased. CONCLUSIONS The “six-step” management mode can reduce the utilization rate of intravenous fluids in inpatients， and this management mode is practical and feasible.

Development of Intelligent Infusion Management System / 中国医疗器械杂志

OBJECTIVE@#The intelligent infusion management system is established through intelligent internet of things, by using the gravity sensor, acceleration sensor and other equipment.@*METHODS@#Establish an infusion management platform based on B/S architecture. Combined with the intelligent terminal and get the major values, including:the infusion speed, the remaining liquid and so on. Besides, it can integrate with the HIS, EMR and PDA.@*RESULTS@#It has solved the data collection of the whole infusion process, realized the real-time visualization during the infusion, and improved the quality of nursing management.@*CONCLUSIONS@#In the paper, it has been used in wards more than 2 years, which has reduced the workload of the infusion and improved the satisfaction of patients. At the same time, it has provided the infusion big data collection and statistics for the research and auxiliary treatment.

Investigation of the Utilization of Venous Infusion in Second-class and Upwards Hospitals in Suzhou in 2016 / 中国药学杂志

OBJECTIVE: To investigate the utilization of venous infusion before and after abolishing intravenous infusion of antibacterial drugs in second-class and upwards hospitals in Suzhou.METHODS: The current status of intravenous infusion in second-class and upwards hospitals in Suzhou in 2016 and 2017 was statistically analyzed. With hospital information system, the infusion ratio and top ten infusion drugs in the emergency, out-patients and in-patients were summarized.RESULTS: The infusion ratio was 6.33% in out-patients, 28.85% in emergency, and 83.16% in-patients.CONCLUSION: The ratio of infusion is high in second-class and upwards hospitals in Suzhou, particularly in in-patients. There are many kinds of infusion drugs and the use of high price electrolytes and adjuvant therapy infusion is increasing.

Nursing requirements and information management strategies of infusion outpatients in emergency department / 中国实用护理杂志

Objective The care requirements and the waiting time of infusion outpatients in emergency department were evaluated to innovate the mode of outpatient and emergency infusion management. Methods 400 infusion outpatients were randomly assessed with the care requirements assessment form which were designed by ourselves. Results The accurate, timely medication treatment and care, a quiet, comfortable environment and the sharply puncture technique were wanted by most outpatients. Conclusions Information management mode-wireless mobile outpatient infusion management system, provides a technologically advanced, safe, reliable, practical solutions for emergency fluid management.