PIVAS集中排药模式与传统排药模式的应用效果比较  

Efficacy Comparison between Centralized Dispensing Mode and Traditional Dispensing Mode in PIVAS

作　　者：刘帅[1] 孔齐[1] 李沙沙[1] 沈承武[1] 

机构地区：[1]山东大学附属省立医院,济南250021

出　　处：《中国药房》2016年第28期3955-3957,共3页China Pharmacy

摘　　要：目的:比较静脉用药集中调配中心(PIVAS)两种排药模式的应用效果,促进PIVAS的发展。方法:选取我院PIVAS中心院区(采用传统排药模式,对照组)和东院区(采用集中排药模式,观察组)2015年第三季度92天内的调配工作相关资料进行回顾分析,介绍为实施集中排药模式采取的配套管理措施;从平均排药时间、平均核对时间、平均配制时间、平均总调配时间、药品破损量、空针使用量、工作差错数等方面进行比较。结果:集中排药模式需在传统排药模式基础上通过增设软硬件及重新排班等实现;对照组与观察组上述前6个指标分别为1.5、0.7 h,1.8、1.1 h,4.4、3.4 h,7.1、5.9 h,4.9、2.8支,576、348个(P<0.05);两组工作差错数分别为0.58、0.60次(P>0.05)。结论:集中排药模式可以缩短各环节工作时间,减轻工作强度,并能够降低药品破损量、空针使用量,但其需要较高的软硬件设施的支持;传统排药模式则更适合用于调配工作量较小或药品使用种类较分散的医院。OBJECTIVE： To compare the effects of 2 dispensing modes in Pharmacy intravenous admixture services （PIVAS）, and to promote the development of PIVAS. METHODS ： Related data about drug dispensing within 92 days in the third quarter of 2015 were selected from PIVAS center branch （traditional dispensing mode, control group） and east branch （centralized dispensing mode, observation group） of our hospital, and then analyzed retrospectively. The management supporting measures were adopted for centralized dispensing mode. 2 dispensing modes were compared in respects of average dispensing time, average checking time, average preparation time, average total dispensing time, the amount of breakage, the amount of empty needle, the mtmber of work- ing errors, etc. RESULTS： Centralized dispensing mode was completed through adding software and hardware, arranging the staff order again, etc. on the basis of traditional one. Above 6 indexes of control group and observation group were 1.5 h and 0.7 h, 1.8 h and 1.1 h, 4.4 h and 3.4 h, 7.1 h and 5.9 h, 4.9 pieces and 2.8 pieces, 576 needles and 348 needles, respectively （P〈0.05）. The number of working errors were 0.58 times and 0.60 times in 2 groups （P〉0.05）. CONCLUSIONS： Centralized dispensing mode can shorten working time of each step, and reduce working strength, the amount of breakage and of empty needle; but it requires advanced software and hardware support. Traditional dispensing mode is more suitable for those hospitals with small-scale drug configuration and disperse drug types.

关 键 词：静脉用药集中调配中心 集中排药模式 传统排药模式 比较 

分 类 号：R95[医药卫生—药学]