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)
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