Abstrait

Application of graded management of high-alert medications in clinical nursing

Meili Dong, Liying Zhang, Lisheng Liang, Aihua Jiang, Jiahai Ma, Zhikun Ma

Objective: To explore the application value of graded management system in clinical nursing through implementing graded management of use of high-alert medications.

Methods: 170 patients, who were taking high-risk drugs in our hospital, were selected as the research objects. The graded management was implemented for the high-alert medications in our hospital, i.e. rectification, arrangement, sweeping, quality and safety management, to enhance the medical staff’s knowledge of high-alert medications and achieve standardized storage and preservation of dangerous medications. The nursing satisfaction and the high-alert medication inspection conditions were compared before and after graded management.

Results: Patient’s satisfaction on the nursing after graded management was significantly improved compared with that before graded management (P<0.05). The problems of grading of high-alter items, labelling of high-alert medications and handover registration of high-alter items were significantly decreased (X²=7.943, P<0.05). Compared with the condition before management, the following frequencies were lowered after management: expired drugs (X²=3.735, P=0.047), basic drug errors (X²=4.889, P=0.03), unclear and incomplete identifications (X²=5.213, P=0.029), wrong placement times (X²=5.837, P=0.025) and non-standard storage (X²=4.016, P=0.041).

Conclusion: It is necessary to establish a sound high-alert medication management system such as graded management, to enhance the satisfaction of patient’s care and ultimately to reduce the medication errors, improve the patient’s medical safety. It is worthy of promotion in clinical practices.