我院静脉用药集中调配中心质量控制监测体系的实施与评价  

Implementation and Evaluation of Quality Control Monitoring System in PIVAS of Our Hospital

作　　者：余茜[1] 李广辉[1] 彭昊帅 刘长缨[1] 

机构地区：[1]郑州人民医院药学部,郑州450003

出　　处：《中国药房》2017年第34期4846-4849,共4页China Pharmacy

摘　　要：目的:为提高静脉用药集中调配中心(PIVAS)的工作质量提供参考。方法:介绍我院建立并实施的PIVAS质量控制监测体系,并对监测体系从实施初期(2016年1月)直至实施12个月(2016年12月)时进行追踪检查,评价实施效果。结果:我院PIVAS制定了包括用药差错与临界差错监测体系、审核医嘱同质化监测体系、手卫生监测体系、高警示药品管理监测体系及药液残留量监测体系在内的质量控制监测体系。相应的各项检查指标即用药差错与临界差错发生率、审核医嘱标准化率、手卫生(知识知晓率、依从率、正确率)、高警示药品管理合格率、药液残留量合格率在实施初期分别为0.14%、57%、85%、70%、86%、98%、75%,实施12个月后分别为0.01%、87%、97%、81%、95%、100%、93%(P<0.05)。结论:我院建立并实施的PIVAS质量控制监测体系有效提高了PIVAS的工作质量。OBJECTIVE：To provide reference for improving the work quality of Pharmacy intravenous admixture service（PIVAS）. METHODS：The quality control monitoring system for PIVAS established and implemented in our hospital was introduced,the monitoring system was tracked and checked from initial stage of implementation（Jan. 2016） to implemented for 12 months（Dec. 2016）,and the effect was evaluated. RESULTS：PIVAS in our hospital had developed quality control monitoring system that included medication error and critical error monitoring system,auditing medical order homogenization monitoring system,hand hygiene monitoring system,high-alarm drug management monitoring system and drug liquid residue monitoring system. In initial stage of implementation,the relevant checking indexes including incidence of medication error and critical error,standardization rate of auditing medical orders,awareness rate of hand hygiene knowledge,compliance rate of hand hygiene,correct rate of hand hygiene,pass rate of high-alarm drug management and pass rate of drug liquid residue were 0.14%,57%,85%,70%,86%,98%,75%;and after implemented 12 months,the indexes were 0.01%,87%,97%,81%,95%,100%,93%,respectively（P0.05）. CONCLUSIONS：The quality control monitoring system in PIVAS established and implemented in our hospital has effectively improved the work quality of PIVAS.

关 键 词：静脉用药集中调配中心 质量控制监测体系 实施效果 

分 类 号：R95[医药卫生—药学]