CAJ | 학술논문

目的探讨静脉药物配置中心(PIVAS)洁净区微生物污染原因,进一步完善洁净区微生物污染控制程序及相关管理制度.方法 2005至2008年,在PIVAS洁净区面积与室内设施不变的情况下,在不同管理要求下每月1次监测紫外线灯辐照强度,对空气、物体表面、工作人员手部、使用中的消毒液进行细菌监测,每半年1次对洁净区相关室间进行沽净度监测(包括尘埃粒子、浮游菌、沉降菌)计数,并将监测结果进行分析、总结,针对存在问题,进一步完善微生物污染控制程序的部分环节,继续追踪考察所有监测数据,判断整改措施是否有效.结果通过完善、落实微生物污染控制程序,紫外线灯辐照强度合格率从78.5%升至95%;空气细菌总数合格率从90%上升至99%.结论该措施能有效预防微生物污染和保障静脉药物配置的安全.
목적 탐토정맥약물배치중심(PIVAS)길정구미생물오염원인,진일보완선길정구미생물오염공제정서급상관관리제도.방법 2005지2008년,재PIVAS길정구면적여실내설시불변적정황하,재불동관리요구하매월1차감측자외선등복조강도,대공기、물체표면、공작인원수부、사용중적소독액진행세균감측,매반년1차대길정구상관실간진행고정도감측(포괄진애입자、부유균、침강균)계수,병장감측결과 진행분석、총결,침대존재문제,진일보완선미생물오염공제정서적부분배절,계속추종고찰소유감측수거,판단정개조시시부유효.결과 통과완선、락실미생물오염공제정서,자외선등복조강도합격솔종78.5%승지95%;공기세균총수합격솔종90%상승지99%.결론 해조시능유효예방미생물오염화보장정맥약물배치적안전.
Objective To ensure the safety of pharmacy intravenous admixture and to make a reference for the reduction and avoidance of the medication errors.Methods The errors which were made by the nurses of PIVAS during the time from August 2006 to August 2009 were analyzed in accordance with drug package inserts,Chinese Pharmacopeia,and Clinical Medication Information,meanwhile the countermeasures were formulated.Results The internal ratio of errors in the pharmacy intravenous admixture service was 0.005% and the ratio of errors was 0.003%.The errors occurred mainly in the following steps:unpracticed two-step dilution,the missing marks,confusion of drug specifications,missing medicine as well as the wrong orders of total nutrient admixture (TNA).Conclusions The nurses of pharmacy intravenous admixture services(PIVAS)must strengthen the study in pharmaceutical knowledge and drug package inserts,strengthen the education in professional ethics,improve the responsibility,correct the bad behavior in order to make the ratio of erros lowest and ensure the drug safety and effectiveness.