静脉用药调配中心药品损耗分析与改进措施  

Drug consumption analysis and improvement measures in PIVAS

作　　者：张敏[1] 孙克明[1] 刘世军[1] 刘宪勇[1] 王岩[1] 褚志杰[2] 

机构地区：[1]武警山东总队医院药剂科,山东济南250014 [2]山东中医药大学附属医院药学部,山东济南250014

出　　处：《西部医学》2017年第5期705-708,共4页Medical Journal of West China

摘　　要：目的探寻降低静脉用药调配中心药品损耗的有效方法,满足临床的用药需求。方法分类汇总2015年1~6月医院静脉用药调配中心各个环节的药品损耗数据,将损耗原因分为院内可控和院外不可控两个方面因素,制订相关的改进措施;2015年7~12月实施这些改进措施,比较改进前后各个环节的药品损耗数据,评价干预的效果。结果通过采取优化工作流程、完善工作细节、制定并落实各项制度等改进措施后,与改进前比较,可控因素各环节导致的药品损耗例数及占用期调配总例数的比例均明显降低,差异有统计学意义(P<0.05);不可控因素导致的药品损耗没有显著减少(P>0.05)。结论通过对工作环节中的药品损耗采取原有工作模式、优化工作流程、完善药品管理制度等措施干预后可以有效降低药品损耗,可控因素导致的药品损耗改善效果优于不可控因素导致的药品损耗。Objective To reduce drug consumption in pharmacy intravenous admixture service （PIVAS）. Methods The drug consumption in PIVAS by workflow from January, 2015 to June, 2015 was categorized. The causes of the drug consumption were analyzed and classified by controllable reasons and uncontrollable reasons. The applicable strategies were mad. The improvements were applied from July, 2015 to December, 2015. The effects of intervention by comparing drug consumption in all aspects before and after intervention were evaluated. Results After the intervention by optimizing workflow, improving the details of the work and developing and implementing rules, the number of cases of drug consumption by controllable reasons and the proportion of the total number of cases in the same period were signifi- cantly reduced. The difference was statistically significant（P〈0.05）. Uncontrollable reasons in all aspects of the drug consumption were not statistically reduced （P〉0.05）. Conclusion After the implementation of the intervention strategies for the drug consumption in links, such as improving previous working mode, optimizing operation process, perfecting the drug management system and so on, the effect of improvement in controllable reasons is larger than in uncontrollable reasons.

关 键 词：静脉用药调配中心 药品损耗 改进措施 

分 类 号：R954[医药卫生—药学]