我院静脉药物调配工作持续改进的实践与体会  

Practice and Experience of Continuous Improvement for Intravenous Drug Admixture in Our Hospital

作　　者：王明辉[1] 张艳华[1] 赵明月[1] 

机构地区：[1]北京大学肿瘤医院暨北京市肿瘤防治研究所药剂科,恶性肿瘤发病机制及转化研究教育部重点实验室,北京100142

出　　处：《中国药房》2015年第4期512-514,共3页China Pharmacy

摘　　要：目的：为提高静脉药物调配工作质量提供参考。方法：介绍我院静脉药物调配中心在建立并优化配液管理程序、调整医嘱摆药方法、增加医嘱审核及复核岗位、安排专职配送人员等方面持续改进的实践及效果。结果：减少了医嘱药品在病房药房和各病区的周转次数,配制审核增加到4次,从而使药品配制自医嘱开具到患者用药从3 h缩减至1~2h完成;且降低了配制差错,医嘱合理率平均值由2007年的80%提升到2012年的98%。结论：建议静脉用药调配中心管理工作应重视局部、细节的严格控制,整体流程的完善、优化及各环节的配合。OBJECTIVE： To provide reference for improving the work quality of intravenous drugs admixture. METHODS： The practice and effects of continuous improvement in Pharmacy intravenous admixture services （PIVAS） of our hospital were intro- duced in terms of establishing and optimizing admixture management program, adjusting drug dispensing method, increasing the post of auditing and double-checking prescription, and arranging professional delivery staff, etc. RESULTS： The drug turnover be- tween pharmacy and wards decreased and admixture checking increased to 4 times so as to reduce the drug admixture duration, which ranged from prescription issuing to patient medication, from 3 h to 1-2 h; admixture error decreased, and reasonable rate of prescriptions increased from 80 % in 2007 to 98 % in 2012. CONCLUSIONS： PIVAS management should focus on the strict control of local part and detail, improvement and optimization of the overall process, and the various aspects with harmony and unity.

关 键 词：静脉药物调配中心 工作质量 持续改进 实践 

分 类 号：R95[医药卫生—药学]