静脉用药调配中心药品破损的原因及干预对策  

Causes of drug breakage in pharmacy intravenous admixture service and intervention measures

作　　者：贾秀玲[1] 范静[1] 胡晓燕[1] 赵杉杉[1] 刘丽洁[1] 孙伟[1] JIA XiuLing;FAN Jing;HU XiaoYan;ZHAO ShanShan;LIU LiJie;SUN Wei(Department of Pharmacy,Hospital Affiliated to Qingdao University,Shandong Qingdao 266003,China)

机构地区：[1]青岛大学附属医院药学部,山东青岛266003

出　　处：《药学服务与研究》2018年第3期218-220,共3页Pharmaceutical Care and Research

摘　　要：目的:分析静脉用药调配中心(pharmacy intravenous admixture service,PIVAS)药品破损原因,并制定减少破损的相应对策。方法:记录青岛大学附属医院PIVAS 2016年每季度药品破损情况,分析容易造成破损的各个环节和原因,并制定相应的改进措施。结果和结论:药品破损与运输操作、领药计划不规范,人员培训不到位,及管理制度不完善等多种因素有关。采取各种干预措施可有效降低药品破损率。通过相应的整改,药品破损率从2016年第一季度的1‰下降至第四季度的0.43‰,差异具有统计学意义(P<0.05)。Objective：To analyze the causes of drug breakage in pharmacy intravenous admixture service（PIVAS）and formulate appropriate measures to reduce drug breakage.Methods：Drug breakage in PIVAS of Affiliated Hospital of Qingdao University in each quarter of 2016 was recorded.Links and causes of drug breakage were analyzed and proper intervention measures were adopted.Results and Conclusion：Drug breakage was closely associated with such factors as improper handling,irregular drug reception plans,insufficient training of medical staff and imperfection of management systems.The application of various intervention measures could effectively reduce the rate of drug breakage.Through appropriate rectifications,the rate of drug breakage dropped from 1‰in the first quarter of 2016 to 0.43‰in the fourth quarter of the year,and statistical significance could be noted when comparisons were made between them（P〈0.05）.

关 键 词：静脉用药调配中心 药品破损 干预对策 药品管理 

分 类 号：R95[医药卫生—药学]