我院PIVAS对成品输液配送及时性的改进管理
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摘要
目的:提高我院静脉用药集中调配中心(PIVAS)成品输液配送的及时性,促进患者及时、合理用药。方法:从人员、软/硬件方面分析影响成品输液配送及时性的因素,制订相应的改进措施。统计2015年1-6月(改进前)与2016年1-6月(改进后)长期医嘱计划执行时间与实际执行时间的分布情况,以及PIVAS打包-配送交接/输液发出-临床接收-实际执行时间各环节的平均用时,评价改进效果。结果:针对人员、软/硬件等方面的影响因素,分别制订并实施了加强与临床医师(开具医嘱)和护士(执行医嘱)相关信息的沟通、提升PIVAS医嘱审核药师的各项专业水平和能力、优化信息系统功能及完善PIVAS相关制度等方面的措施。与2015年同期比较,2016年医嘱计划执行时间与实际执行时间的高峰时段分布均有所分散;配送交接/输液发出-临床接收环节平均用时减少了10.13 min,且2016年各工作环节用时呈逐月缓慢下降趋势。结论:我院PIVAS实施的管理改进措施提高了成品输液配送的及时性,为临床患者的及时用药提供了保障。
OBJECTIVE:To improve the timeliness of finished product infusion distribution in pharmacy intravenous admixture service(PIVAS)of our hospital,and promote timely and rational drug use of patients. METHODS:The factors affecting the timeliness of finished product infusion distribution were analyzed in terms of personnel,software/hardware,and relevant measures were developed. The distribution of long-term medical orders' planning execution time and actual execution time in Jan.-Jun. 2015(before improvement)and Jan.-Jun. 2016(after improvement)were summed up,as well as the average time in each link of PIVAS packing-delivery/infusion sending-clinical reception-actual execution time,and the effects were evaluated. RESULTS:For the personnel,software/hardware and other aspects of the factors,measures were developed and implemented,including strengthening the communication of clinicians(issued medical orders)and nurses(performed medical orders)in related information,improving professional level and ability of pharmacists that reviewing medical orders in PIVAS,optimizing information system functions and improving related systems in PIVAS. Compared with the same period in 2015,peak time distribution was dispersed in medical orders' planning execution time and actual execution time in 2016. The average time of delivery/infusion sending-clinical reception decreased by 10.13 min,and the time of each link in 2016 showed a slight downward trend month by month. CONCLUSIONS:The management improvement measures in PIVAS of our hospital have improved the timeliness of finished product infusion distribution,and provided a guarantee for the timely treatment of clinical patients.
OBJECTIVE:To improve the timeliness of finished product infusion distribution in pharmacy intravenous admixture service(PIVAS)of our hospital,and promote timely and rational drug use of patients. METHODS:The factors affecting the timeliness of finished product infusion distribution were analyzed in terms of personnel,software/hardware,and relevant measures were developed. The distribution of long-term medical orders' planning execution time and actual execution time in Jan.-Jun. 2015(before improvement)and Jan.-Jun. 2016(after improvement)were summed up,as well as the average time in each link of PIVAS packing-delivery/infusion sending-clinical reception-actual execution time,and the effects were evaluated. RESULTS:For the personnel,software/hardware and other aspects of the factors,measures were developed and implemented,including strengthening the communication of clinicians(issued medical orders)and nurses(performed medical orders)in related information,improving professional level and ability of pharmacists that reviewing medical orders in PIVAS,optimizing information system functions and improving related systems in PIVAS. Compared with the same period in 2015,peak time distribution was dispersed in medical orders' planning execution time and actual execution time in 2016. The average time of delivery/infusion sending-clinical reception decreased by 10.13 min,and the time of each link in 2016 showed a slight downward trend month by month. CONCLUSIONS:The management improvement measures in PIVAS of our hospital have improved the timeliness of finished product infusion distribution,and provided a guarantee for the timely treatment of clinical patients.
引文
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[8]孙艳,胡静,谢牧牧.PIVAS中药师通过联络信发挥人为干预作用保证合理用药的调查研究[J].中国药物应用与监测,2010,7(3):166-168.
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[2]王顺年,李建,吴新荣,等.临床合理用药指南[M].3版.北京:人民军医出版社,2015:4-65.
[3]米文杰,陈迹.静脉用药集中调配基础知识问答[M].北京:人民卫生出版社,2016:131.
[4]王佳坤,李玉堂,杨昌云,等.一体化药品配送中心的运行与管理[J].医药导报,2012,31(9):1243-1245.
[5]林淑瑜,甘惠贞,王佳坤,等.静脉用药调配中心安全隐患分析与防范措施[J].医药导报,2013,32(4):553-554.
[6]张伟,孙庆宇.临床药师干预前后门诊不合理处方调查分析[J].中国现代药物应用,2010,4(16):242-243.
[7]宁俊凯,林淑瑜,甘惠贞.我院静脉用药调配中心常见差错及改进策略[J].中国药业,2014,23(18):71-73.
[8]孙艳,胡静,谢牧牧.PIVAS中药师通过联络信发挥人为干预作用保证合理用药的调查研究[J].中国药物应用与监测,2010,7(3):166-168.
[9]陈巧辉,陈德志,许燕玉,等.我院静脉用药调配中心临床不合理用药干预成效分析[J].中国药业,2014,23(18):69-70.
[10]陈泽强,林淑瑜.我院PIVAS与临床科室有效沟通的方法探讨[J].中国药房,2016,27(28):3949-3951.