CAJ | 학술논문

目的探讨静脉用药调配中心(PIVAS)管理方法和模式,全面提升中心质量,为患者提供安全、有效的静脉输液成品,确保输液质量与安全.方法运用精细化管理的理论和方法,采取建立专业化的岗位职责体系、制定《岗位职责指导书》、细化处方审核和药品管理、控制药品配制关键环节、运用网络信息技术、建立科学的质控体系等措施,对实施前后38个病区的不合理处方、静脉输液药物不良反应及药物配制缺陷情况进行统计分析比较.结果实施后6个月与实施前同季节的6个月各项指标比较,不合理处方数显著减少(261∶654;x2=160.54,P＜0.01)；药物不良反应明显下降(139∶193;x2=21.39,P＜0.01)；配制错误数量显著降低(1∶11；x2=10.29,P＜0.01).结论实施精细化管理适应PIVAS高风险、高强度、高责任心和集约化、流程化管理的特点,在提高PIVAS质量、保证输液安全中成效显著.
목적 탐토정맥용약조배중심(PIVAS)관리방법화모식,전면제승중심질량,위환자제공안전、유효적정맥수액성품,학보수액질량여안전.방법 운용정세화관리적이론화방법,채취건립전업화적강위직책체계、제정《강위직책지도서》、세화처방심핵화약품관리、공제약품배제관건배절、운용망락신식기술、건립과학적질공체계등조시,대실시전후38개병구적불합리처방、정맥수액약물불량반응급약물배제결함정황진행통계분석비교.결과 실시후6개월여실시전동계절적6개월각항지표비교,불합리처방수현저감소(261∶654;x2=160.54,P＜0.01)；약물불량반응명현하강(139∶193;x2=21.39,P＜0.01)；배제착오수량현저강저(1∶11；x2=10.29,P＜0.01).결론 실시정세화관리괄응PIVAS고풍험、고강도、고책임심화집약화、류정화관리적특점,재제고PIVAS질량、보증수액안전중성효현저.
Objective To discuss the management method and pattern in PIVAS,in order to improve quality,provide patients with safe and effective venous transfusion products,and ensure transfusion quality and safety.Methods The theory and method of fine-grained management was used to build system of professional position responsibility,formulate "position duty instruction",detail prescription verification and medication management,control drug dispensing key link,apply network information technology and establish scientific quality control system,etc.Irrational prescription,adverse effect to venous transfusion products and deflects of drug dispensing in 38 wards were analyzed and compared before and after.Results Irrational prescription reduced from 654 to 261,compared between six months before and six months after fine-grained management,and the difference was statistically significant (x2 =160.54,P ＜ 0.01).Cases of adverse effect to venous transfusion products decreased from 193 to 139,with statistically significant difference (x2 =21.39,P ＜ 0.01).The number of wrong drug dispensing also dropped from 11 to 1,and the difference was statistically significant (x2 =10.29,P ＜ 0.0l).Conclusions Fine-grained management is suitable in PIVAS which has the characteristics of high risk,high intensity,high responsibility,intensification and flow management,thus effective to improve quality in PIVAS and ensure the safety of transfusion.