CAJ | 학술논문

本文旨在减少静脉药物调配中心（PIVAS）日常配药过程中所存在的药物浪费。首先运用5W1H方法找出配药过程中的浪费因素，进而用鱼骨图分析出主要因素，提出使用商用预混型静脉注射药物和提高配药频率的两种方法，通过实验设计来探究两种方法对减少静脉药物浪费的影响。结果表明，减少浪费的优化措施取得了良好的改进效果，提高了配药流程的效率和实用性。
본문지재감소정맥약물조배중심（PIVAS）일상배약과정중소존재적약물낭비。수선운용5W1H방법조출배약과정중적낭비인소，진이용어골도분석출주요인소，제출사용상용예혼형정맥주사약물화제고배약빈솔적량충방법，통과실험설계래탐구량충방법대감소정맥약물낭비적영향。결과표명，감소낭비적우화조시취득료량호적개진효과，제고료배약류정적효솔화실용성。
Aiming at reducing waste during admixture process in pharmacy intravenous admixture services (PIVAS), 5W1H is employed to analyze waste factors during the admixture process , and a fishbone dia-gram is used to obtain the main factors .The two interventions of using commercial pre-mixed frozen Intra-venous ( IV ) products and increasing IV batching frequency are proposed .Then design of experiment ( DOE) is used to study the impact of the two interventions on reducing waste in PIVAS .The results show that the interventions have made a desired improvement and improved practicability and efficiency during the admixture process .