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首页> 外文期刊>The Canadian journal of hospital pharmacy. >Feasibility of Monitoring Real-Time Temperatures of Medications in a Ground Ambulance System: A Pilot Study
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Feasibility of Monitoring Real-Time Temperatures of Medications in a Ground Ambulance System: A Pilot Study

机译：在地面救护系统中监测药物实时温度的可行性：试点研究

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Introduction: Many emergency medical services (EMS) agencies do not monitor temperatures of the environment where medications are stored. Medications stored at bases and in ambulances often lack climate control, which could lead to a loss of medication stability. Objectives: The objective is to determine the feasibility of remotely monitoring temperatures, to describe temperatures observed, and to determine how often medication temperatures exceed recommended limits. Methods: We conducted a 5-week pilot study in a provincial ambulance system. Temperature tags were placed in 134 ambulance medication cabinets and 162 on scene medication bags. A sample of 15 Tenecteplase (TNK) storage thermoses and 15 intubation kits containing topical anesthetics had tags placed. Temperatures and number of times temperature exceeded predetermined thresholds were monitored. Temperature thresholds were defined as beyond 15-30°C. Due to TNK temperature guidelines, temperatures beyond 8°C and 15°C were analyzed. Results: Data was collected from 134 ambulance medication cabinets (45.3%). Mean temperature was 23.3°C (95% CI, 24.3-24.4°C, range 6.0-40.7°C). Temperatures exceeded 25°C 35,375 times (30.0%), 30°C 1,752 times (1.5%), and 35°C 76 times (0.1%). Data was obtained from 162 on scene medication bags (54.7%). Mean temperature was 23.9°C (95%CI, 23.8-23.9°C, range 6.5-45.4°C). Temperatures exceeded 25°C 33,048 times (24.0%), 30°C 2,356 times (1.7%), and 35°C 168 times (0.1%). Data was acquired from 15 thermoses containing TNK (100%). Mean temperature was 24.0°C (95%CI, 23.9-24.0°C, range 6.5-31.7°C). Temperatures exceeded 8°C 8,335 times (99.8%), 15°C 8,146 times (97.0%), 25°C 1,521 times (18.0%), 30°C 27 times (0.3%), and 35°C 0 times. Data from 15 intubation kits (100%) showed a mean temperature of 24.0°C (95%CI, 23.9-24.1°C, range 6.5-32.0°C). Temperatures exceeded 25°C 1,915 times (22.0%), 30°C 28 times (0.3%), and 35°C 0 times. Conclusion: This pilot study found remotely collected temperatures feasible. Data from the study was used to guide EHS medication storage policy recommendations.
机译：简介：许多紧急医疗服务（EMS）代理商不会监控储存药物的环境的温度。储存在碱和救护车上的药物通常缺乏气候控制，这可能导致药物稳定性丧失。目的：目的是确定远程监测温度的可行性，描述观察到的温度，并确定药物温度超过推荐限制的频率。方法：在省级救护系统中进行了5周的试验研究。温度标签置于134个救护车用药柜中，162架现场药物袋。 15个邻苯替糖酶（TNK）储存热剂和包含局部麻醉剂的15个插管试剂盒的样品有标签。监测温度和次数超过预定阈值的温度和次数。温度阈值定义为超过15-30℃。由于TNK温度准则，分析了超过8°C和15°C的温度。结果：从134个救护车药物柜中收集数据（45.3％）。平均温度为23.3℃（95％Ci，24.3-24.4°C，范围为6.0-40.7°C）。温度超过25°C 35,375次（30.0％），30℃1,752次（1.5％）和35℃76次（0.1％）。数据从162个现场药物药物（54.7％）获得。平均温度为23.9℃（95％CI，23.8-23.9°C，范围为6.5-45.4°C）。温度超过25°C 33,048次（24.0％），30℃2,356次（1.7％）和35℃168次（0.1％）。从含有TNK的15个热量获得数据（100％）。平均温度为24.0℃（95％CI，23.9-24.0°C，范围为6.5-31.7°C）。温度超过8°C 8,335次（99.8％），15°C 8,146次（97.0％），25℃1,521次（18.0％），30℃27次（0.3％）和35℃0次。来自15个插管套件（100％）的数据显示平均温度为24.0℃（95％CI，23.9-24.1°C，范围为6.5-32.0°C）。温度超过25°C 1,915倍（22.0％），30℃28倍（0.3％），35℃0次。结论：这项试验研究发现远程收集的温度可行。该研究的数据用于指导EHS药物储存政策建议。

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