本文選題：靜脈用藥集中調(diào)配中心　切入點(diǎn)：醫(yī)囑　出處：《中國(guó)藥房》2017年31期

【摘要】：目的:提高我院靜脈用藥集中調(diào)配中心(PIVAS)成品輸液配送的及時(shí)性,促進(jìn)患者及時(shí)、合理用藥。方法:從人員、軟/硬件方面分析影響成品輸液配送及時(shí)性的因素,制訂相應(yīng)的改進(jìn)措施。統(tǒng)計(jì)2015年1-6月(改進(jìn)前)與2016年1-6月(改進(jìn)后)長(zhǎng)期醫(yī)囑計(jì)劃執(zhí)行時(shí)間與實(shí)際執(zhí)行時(shí)間的分布情況,以及PIVAS打包-配送交接/輸液發(fā)出-臨床接收-實(shí)際執(zhí)行時(shí)間各環(huán)節(jié)的平均用時(shí),評(píng)價(jià)改進(jìn)效果。結(jié)果:針對(duì)人員、軟/硬件等方面的影響因素,分別制訂并實(shí)施了加強(qiáng)與臨床醫(yī)師(開具醫(yī)囑)和護(hù)士(執(zhí)行醫(yī)囑)相關(guān)信息的溝通、提升PIVAS醫(yī)囑審核藥師的各項(xiàng)專業(yè)水平和能力、優(yōu)化信息系統(tǒng)功能及完善PIVAS相關(guān)制度等方面的措施。與2015年同期比較,2016年醫(yī)囑計(jì)劃執(zhí)行時(shí)間與實(shí)際執(zhí)行時(shí)間的高峰時(shí)段分布均有所分散;配送交接/輸液發(fā)出-臨床接收環(huán)節(jié)平均用時(shí)減少了10.13 min,且2016年各工作環(huán)節(jié)用時(shí)呈逐月緩慢下降趨勢(shì)。結(jié)論:我院PIVAS實(shí)施的管理改進(jìn)措施提高了成品輸液配送的及時(shí)性,為臨床患者的及時(shí)用藥提供了保障。
[Abstract]:Objective: to improve the timeliness of the delivery of finished product infusion in our central intravenous drug distribution center, and to promote the timely and rational use of the drug. Methods: the factors affecting the timeliness of the delivery of finished product were analyzed from the aspects of personnel, software / hardware. Develop corresponding improvement measures. Statistics on the distribution of the implementation time and actual implementation time of the long-term doctor's order plan between January and June 2015 (before improvement) and January to June 2016 (after improvement), And the average time of each link of PIVAS packaging, delivery handover / infusion, clinical receiving and actual execution time, to evaluate the effect of improvement. Results: according to the influence factors of personnel, software / hardware and so on, To develop and implement the communication with clinicians (prescribing doctors' orders) and nurses (executing doctors' orders) separately, to enhance the professional level and ability of PIVAS doctors' orders audit pharmacists, Measures to optimize the function of information system and to perfect the related system of PIVAS. Compared with the same period of 2015, the distribution of peak time between the execution time of doctor's order plan and the actual execution time in 2016 was scattered. The average time of delivery handover / infusion delivery-clinical receiving link was reduced by 10.13 minutes, and the working time in 2016 was decreasing slowly and month by month. Conclusion: the management improvement measures implemented by PIVAS in our hospital have improved the timeliness of delivery of finished product transfusion. It provides a guarantee for clinical patients to use drugs in time.
【作者單位】： 新疆醫(yī)科大學(xué)第一附屬醫(yī)院藥學(xué)部;
【分類號(hào)】：R95

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