本文選題：靜脈用藥集中調(diào)配中心 + 集中排藥模式��； 參考：《中國藥房》2016年28期

【摘要】：目的:比較靜脈用藥集中調(diào)配中心(PIVAS)兩種排藥模式的應(yīng)用效果,促進PIVAS的發(fā)展。方法:選取我院PIVAS中心院區(qū)(采用傳統(tǒng)排藥模式,對照組)和東院區(qū)(采用集中排藥模式,觀察組)2015年第三季度92天內(nèi)的調(diào)配工作相關(guān)資料進行回顧分析,介紹為實施集中排藥模式采取的配套管理措施;從平均排藥時間、平均核對時間、平均配制時間、平均總調(diào)配時間、藥品破損量、空針使用量、工作差錯數(shù)等方面進行比較。結(jié)果:集中排藥模式需在傳統(tǒng)排藥模式基礎(chǔ)上通過增設(shè)軟硬件及重新排班等實現(xiàn);對照組與觀察組上述前6個指標(biāo)分別為1.5、0.7 h,1.8、1.1 h,4.4、3.4 h,7.1、5.9 h,4.9、2.8支,576、348個(P0.05);兩組工作差錯數(shù)分別為0.58、0.60次(P0.05)。結(jié)論:集中排藥模式可以縮短各環(huán)節(jié)工作時間,減輕工作強度,并能夠降低藥品破損量、空針使用量,但其需要較高的軟硬件設(shè)施的支持;傳統(tǒng)排藥模式則更適合用于調(diào)配工作量較小或藥品使用種類較分散的醫(yī)院。
[Abstract]:Aim: to compare the application effect of two drug discharge modes in central intravenous drug dispensing center (PIVAS) and promote the development of PIVAS. Methods: the data related to the deployment of PIVAS in the central hospital (using the traditional drug discharge model, the control group) and the eastern hospital (using the centralized discharge model, observation group) were retrospectively analyzed in the 92 days of the third quarter of 2015. This paper introduces the supporting management measures to implement the centralized drug discharge mode, and compares the average discharge time, the average check time, the average preparation time, the average total allocation time, the amount of drug breakage, the amount of empty needle used, the number of work errors, etc. Results: the former six indexes of the control group and the observation group were 1.50.7 hu 1.81.1 h, 4.43.4h 7.1hm 5.9 h ~ (5.9) ~ 4.92.8 (P0.05), 576348 (P0.05), respectively, and the number of work errors in the two groups was 0.58 ~ 0.60 times (P0.05). Conclusion: the centralized discharge mode can shorten the working time, reduce the working intensity, reduce the amount of drug breakage and the amount of empty needle, but it needs the support of high hardware and software facilities. The traditional drug discharge mode is more suitable for the hospitals where the workload is small or the use of drugs is more dispersed.
【作者單位】： 山東大學(xué)附屬省立醫(yī)院;
【分類號】：R95
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本文編號：2071252