新疆医科大学学报
新疆醫科大學學報
신강의과대학학보
JOURNAL OF XINJIANG MEDICAL UNIVERSITY
2014年
7期
910-912
,共3页
PIVAS%成品输液%质量管理工具%用药安全
PIVAS%成品輸液%質量管理工具%用藥安全
PIVAS%성품수액%질량관리공구%용약안전
PIVAS%the finished product infusion%quality control tools%safety of intravenous infusion
目的：规范静脉用药调配中心（PIVAS）配置的抗感染药物及细胞毒性药物成品输液的使用，保证患者合理安全用药。方法选取说明书中对药品使用方法和注意事项有特殊说明的抗感染药物和细胞毒性药物的住院医嘱1046组，利用质量管理手法针对临床产生的主要问题（未立即使用、未避光、未按给药间隔使用）进行干预（优化信息系统、流程改造、加强沟通、宣教、用药手册），采用卡方检验对干预前后临床未正确使用 PIVAS 输液发生率进行统计学分析，观察干预效果。结果干预后未按要求间隔给药时间的发生率从98．9％下降到56．6％；干预后未按要求立即使用的发生率从87．3％下降到40．1％；干预后未按要求避光的发生率从100．0％下降到40．8％，均有显著性改善。结论采用优化 PIVAS 信息系统、流程改造、加强沟通、宣教、用药手册等措施对成品输液的使用效果干预有效。
目的：規範靜脈用藥調配中心（PIVAS）配置的抗感染藥物及細胞毒性藥物成品輸液的使用，保證患者閤理安全用藥。方法選取說明書中對藥品使用方法和註意事項有特殊說明的抗感染藥物和細胞毒性藥物的住院醫囑1046組，利用質量管理手法針對臨床產生的主要問題（未立即使用、未避光、未按給藥間隔使用）進行榦預（優化信息繫統、流程改造、加彊溝通、宣教、用藥手冊），採用卡方檢驗對榦預前後臨床未正確使用 PIVAS 輸液髮生率進行統計學分析，觀察榦預效果。結果榦預後未按要求間隔給藥時間的髮生率從98．9％下降到56．6％；榦預後未按要求立即使用的髮生率從87．3％下降到40．1％；榦預後未按要求避光的髮生率從100．0％下降到40．8％，均有顯著性改善。結論採用優化 PIVAS 信息繫統、流程改造、加彊溝通、宣教、用藥手冊等措施對成品輸液的使用效果榦預有效。
목적：규범정맥용약조배중심（PIVAS）배치적항감염약물급세포독성약물성품수액적사용，보증환자합리안전용약。방법선취설명서중대약품사용방법화주의사항유특수설명적항감염약물화세포독성약물적주원의촉1046조，이용질량관리수법침대림상산생적주요문제（미립즉사용、미피광、미안급약간격사용）진행간예（우화신식계통、류정개조、가강구통、선교、용약수책），채용잡방검험대간예전후림상미정학사용 PIVAS 수액발생솔진행통계학분석，관찰간예효과。결과간예후미안요구간격급약시간적발생솔종98．9％하강도56．6％；간예후미안요구립즉사용적발생솔종87．3％하강도40．1％；간예후미안요구피광적발생솔종100．0％하강도40．8％，균유현저성개선。결론채용우화 PIVAS 신식계통、류정개조、가강구통、선교、용약수책등조시대성품수액적사용효과간예유효。
Objective Standardize the use of anti-infective agents and cytotoxic agents which was blended by Pharmacy Intravenous Admixture Service (PIVAS),in order to ensure that patients in the rationality and safety in the process of drug use.Methods Selected 1 046 hospital doctor's advices which including the anti-infective agents or cytotoxic agents which were signed the special usages in their leaflets,then used quality control technique to intervent the clinical problems (such as didn't use immediately,didn′t avoid light,didn′t use according to the dosing interval).The intervention including optimizing the information systems,modificating working process,strengthing communication,propaganda and education,compiling medication guide.Used the chi-squared to analysis wrong usage rate before and after the intervention.Re-sults After intervention,the rate of failure to delivery time interval decreased from 98.9% to 56.6%,the rate of not using immediately decreased from 87.3% to 40.1%,and the rate of failure to avoid light de-creased from 100.0% to 40.8%,with significantly improved.Conclusion With the measure of optimizing PIVAS information systems,processing transformation,strengthening communication,education,medi-cation and other measures,the use of manual infusion intervention has an efficacious effect.
