Construction of perioperative clinical medicine pathway system based on work breakdown structure
10.3760/cma.j.cn114015-20240516-00348
- VernacularTitle:基于工作分解结构的围手术期用药路径体系建设与实施效果
- Author:
Xiaomin XING
1
;
Bing HAN
1
;
Donghua LIU
1
;
Yue YUE
1
;
Li ZHU
1
;
Ping LENG
1
;
Jing LI
1
Author Information
1. 青岛大学附属医院药学部，青岛 266000
- Publication Type:Journal Article
- Keywords:
Perioperative care;
Clinical pathways;
Pharmaceutical services;
Work breakdown structure;
System construction;
Surgical pharmacy;
Hospital administration
- From:
Adverse Drug Reactions Journal
2025;27(1):30-35
- CountryChina
- Language:Chinese
-
Abstract:
In order to promote rational drug use in perioperative period, a perioperative clinical medication pathway system was constructed in the Affiliated Hospital of Qingdao University using the project management method of work breakdown structure (WBS). To establish this system, the following 7 tasks should be completed: requirement investigation of the pathway, formulation of drug usage standards, formulation of clinical medicine pathways, clinical communication and training, effect evaluation and supervision, informazation of medication supervision, and therapeutic drug monitoring, which were implemented by pharmacists of different specialties, respectively. After 4 years of effort, 6 general clinical medicine pathways were completed for antibiotics, analgesics, drugs in venous thromboembolism prophylaxis, nutritional support agents, airway management drugs, and proton pump inhibitors, respectively. These pathways had positive effects in improving the rational use of antibiotics, optimizing the postoperative pain management, and strengthening the risk assessment of thrombosis for patients in the surgical department. The personalized pathway constructed for the Cardiac Surgery Department and the multidimensional pharmaceutical intervention in the Anesthesiology Department also had remarkable effects. In conclusion, the construction of perioperative medication pathway system through WBS was helpful to refine the division of work tasks, reflect the value of pharmacists, and improve the quality of perioperative pharmaceutical services.
