CAJ | 학술논문

目的：分析本院静脉用药调配中心（pharmacy Intravenous Admixture Services，PIVAS）发生的差错事故，制定防范措施，保障患者安全、及时用药。方法回顾性调查濮阳市油田总医院静脉用药调配中心在2012年1月1日-2012年4月1发生的差错，找出差错原因，以杜绝此类差错事故的再次发生。结果 PIVAS自2012年1月1日-2012年4月1从289650袋(例)的总工作量中检出237例差错。主要表现在打印处方问题（12%）、审核医嘱差错（8%）、排药差错（41%）、核对差错（14%）、配置差错（5%）、打包及药品装箱差错（8%）、临床护士验收药品后的相关问题（12%）等七个方面。结论对PIVAS的管理进行细化、精化，找出各类问题根源及应对和解决措施，对实现安全、准确、高效的静脉药物配置，具有重大意义。
목적：분석본원정맥용약조배중심（pharmacy Intravenous Admixture Services，PIVAS）발생적차착사고，제정방범조시，보장환자안전、급시용약。방법회고성조사복양시유전총의원정맥용약조배중심재2012년1월1일-2012년4월1발생적차착，조출차착원인，이두절차류차착사고적재차발생。결과 PIVAS자2012년1월1일-2012년4월1종289650대(례)적총공작량중검출237례차착。주요표현재타인처방문제（12%）、심핵의촉차착（8%）、배약차착（41%）、핵대차착（14%）、배치차착（5%）、타포급약품장상차착（8%）、림상호사험수약품후적상관문제（12%）등칠개방면。결론대PIVAS적관리진행세화、정화，조출각류문제근원급응대화해결조시，대실현안전、준학、고효적정맥약물배치，구유중대의의。
Objective To develop preventive measures by analyzing the mistake accidents in Pharmacy Intravenous Admixture Services (PIVAS) in the hospital to ensure the patients receive timely and safety treatment. Methods The mistake accidents from Jan.1 2012 to Apr.1 2012 were collected and analyzed in our PIVAS center and the reasons were found out to avoid the homologous mistakes. Results 237 mistake accidents were found out in 289650 infusion bags. The mistakes can be classified by the following seven reasons such as printing (12%)、prescription auditing (8%)、medicine rowing (41%)、checking (14%)、infusing (5%)、sending errors (8%) and other problems from the wards (12%). Conclusion It is important to realize high-performance, safe and accurate infusing by finding out the reasons, resolving methods and detailed management for PIVAS.