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作 者:李静[1] 范静[1] 高珊珊[1] 毕鹏飞[1] 孙伟[1]
机构地区:[1]青岛大学医学院附属医院药学部,山东青岛266003
出 处:《中国药房》2015年第13期1865-1867,共3页China Pharmacy
摘 要:目的:探索建立静脉用药调配中心(PIVAS)高效、低差错率的标准化工作模式。方法:对PIVAS各环节的具体工作内容及易出现的问题进行分析,针对出现的问题依据规范并切合实际建立标准化的各环节工作流程;比较标准化流程实施前后4个月的调配差错率以评价其效果。结果:建立了从医嘱审核、打印标签、摆药、分标签、贴标签、输液配制、成品打包外送至临床科室、退药各环节的标准工作流程;差错率由实施前的0.079%下降为实施后的0.037%。结论:通过对PIVAS每个工作环节的关键点进行规范化、标准化的管理,可有效降低调配差错率。OBJECTIVE: To explore the standardized work mode of the Pharmacy intravenous admixture service (PIVAS) in order to improve the efficiency and reduce the error rate. METHODS: The specific contents of each link of work in PIVAS and new problems arising therefrom were analyzed, and the standardized workflow of each link was established on the basis of the above problems according to the criterion and actual conditions. The error rates of dispensing before and after the implementation of the standardized workflow in 4 months were compared and the corresponding results were evaluated. RESULTS: The standardized workflow was established, which is as follows as checking doctor's orders, printing labels, placing drugs, distributing labels, sticking labels, infusion preparation, packaging the finished drugs and sending them to the clinical department, returning drugs, etc. The error rate reduced from 0.079% to 0.037% after the above-mentioned implementation. CONCLUSIONS: The error rate of dispensing can be effectively reduced by the standardized management over the key points in each link of work in PIVAS.
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