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基于临床需求构建儿科“六全”静脉用药集中调配模式

Construction and Exploration of the Pediatric“Six-Comprehensive”Model for Pharmacy Intravenous Admixture Services Based on Clinical Needs
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摘要 目的:探讨并构建儿科全天候静脉用药集中调配工作模式。方法:通过静脉用药调配中心(PIVAS)项目规划建设、信息系统支持、注射类药物调配设计、24 h工作流程设计等举措,构建一套包含全医嘱审核、全静脉用药种类、全医嘱类型、全时段、全静脉给药方式、危害药品全注射给药途径6项基本内容的PIVAS“六全”调配模式。结果:实施“六全”模式后(2022-2024年)的数据显示,我院PIVAS调配的临时医嘱成品占比22.40%,静脉推注和静脉泵入成品占比29.27%,非静脉滴注危害药品占比45.82%;临时调配间工作量占比23.29%。结论:“六全”模式能满足儿科PIVAS全天候运行精细化管理,有效提升调配和药学服务质量。 Objective:To explore and construct the round-the-clock model for pediatric pharmacy intravenous admixture.Methods:Through measures such as the construction of the pharmacy intravenous admixture services(PIVAS)project,information system support,dispensing design of injection drugs,and the 24-h workflow design,the PIVAS“six-comprehensive”dispensing model including comprehensive review of medical orders,comprehensive intravenous medication types,comprehensive medical orders types,round-the-clock,comprehensive intravenous administration route,and comprehensive administration route of harmful drugs for injection was constructed.Results:The data from 2022 to 2024 following the implementation of the“six-comprehensive”model showed that the proportion of temporary medical orders in the finished products prepared by PIVAS was 22.40%,the proportion of finished products for intravenous injection and infusion was 29.27%,and the proportion of non-intravenous drip hazardous drugs was 45.82%;the workload of the temporary preparation room accounted for 23.29%.Conclusion:The“six-comprehensive”model can ensure the round-the-clock operation of pediatric PIVAS with refined management,effectively improving the quality of dispensing and pharmaceutical services.
作者 彭骞 蒋志平 Peng Qian;Jiang Zhiping(Hunan Children’s Hospital,Changsha 410007,China)
机构地区 湖南省儿童医院
出处 《儿科药学杂志》 2025年第9期24-27,共4页 Journal of Pediatric Pharmacy
基金 湖南省卫生健康委员会2022年科研计划项目,编号202213043925。
关键词 静脉用药调配中心 药学服务 同质化 精细化 pharmacy intravenous admixture services pharmaceutical service homogeneity refinement
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