摘要
目的确保使用吗啡缓释片或羟考酮缓释片的癌痛患者爆发性疼痛(breakthrough pain,BTP)解救剂量合理。方法依循PDCA循环法步骤,分析总结导致BTP解救剂量不合理的原因,根据原因制定解决方案,予以实施。通过点评BTP解救医嘱和收集临床反馈,对方案进行评价和处理。结果经过两轮PDCA循环,完善了方案,可显著提高BTP解救剂量合理率和解救治疗效果。结论 PDCA循环法促进临床合理治疗BTP有积极的意义。
Objective To ensure the reasonable rescue doses for cancer breakthrough pain （BTP） in cancer patients treated with morphine sustained-release tablets or oycodone controlled-release tablets. Methods Following the PDCA cycle, the errors of rescue doses for BTP were analyzed, and countermeasures were set according the reasons and were implemented. We evaluated the countermeasures through reviewing the BTP rescue medication orders and collected clinical feedbacks. Results The countermeasure were optimized after two rounds of PDCA implementations. The reasonable rate of rescue doses for cancer BTP and the effect of rescue treatment were improved significangtly. Conclusion PDCA cycle had positive effect on the clinical rational treatment of BTP.
出处
《中南药学》
CAS
2017年第11期1646-1650,共5页
Central South Pharmacy
