关键词: font-size:medium, ">]静脉输液；输液管理；儿童门诊；效果分析；公立医院改革

Abstract: Objective： To analyze the effect of outpatient infusion restriction management in Children′s Hospital.Methods： Taking a children′s hospital， which has implemented transfusion restriction management in outpatient department since December 2016 as a trial hospital. And selecting a hospital which does not implemented the transfusion restriction management in children′s outpatient clinics， and whose basic information is comparable and the visiting population is close to each other as a control hospital. Cross-sectional investigation and dynamic reporting were used to collect hospital data. 2 years later the implementation of transfusion restriction management Longitudinal comparison was made between the number of outpatient infusion patients and the average cost before and after the implementation of infusion restriction management.Horizontal comparison of the ratio of out-patient infusion， the average cost of person-time and the ratio of antibiotics use was made between trial hospitals and control hospitals.Results: The ratio of intravenous infusion in hospitals has decreased year by year. Outpatient visits increased year by year. The average cost of outpatient visits has been reduced to a certain extent. Horizontal comparison showed that the infusion ratio， the average cost of outpatients and the proportion of antibiotics used in outpatients in the trial hospitals were lower than those in the control hospitals， and the differences were statistically significant (P<0.001). Conclusion： The implementation of intravenous infusion restriction management in children′s outpatient department has achieved initial results in the past two years. The ratio of intravenous infusion in outpatient department and the use of antibiotics in outpatient department have been effectively controlled， the number of hospital visits has not decreased but increased， and the average cost of outpatient visits has decreased.
    

Key words: font-size:medium, ">Intravenous infusion；Infusion management；Children′s clinic；Effect analysis；Public hospital reform