我院PIVAS个体化输液顺序调控实践研究  

Study on the Practice of Regulating Individualized Infusion Sequence in PIVAS of Our Hospital

作　　者：邱季[1] 李睿 朱文靖[1] 刘婷 刘云洁 戴夫[1] QIU Ji;LI Rui;ZHU Wenjing;LIU Ting;LIU Yunjie;DAI Fu(Dept.of Pharmacy,Hefei First People’s Hospital,Hefei 231200,China;Hefei First People’s Hospital,Hefei 231200,China)

机构地区：[1]合肥市第一人民医院药学部

出　　处：《中国药房》2020年第1期117-122,共6页China Pharmacy

基　　金：安徽省2018年重点研究和开发计划项目(No.1804h08020276)

摘　　要：目的:建立静脉用药调配中心(PIVAS)输液顺序调控流程,并实施个体化调控。方法:建立智能提醒和人工智能输液顺序调控系统,结合每批次液体量、组间配伍禁忌、特定药品的特定溶剂等因素设定调控规则,自动针对不同病区、不同诊断、不同用药目的的患者一天内使用的治疗药物和辅助用药等进行先后排序以实现个体化输液顺序智能调控;选择2017年1-9月和2019年1-9月分别为个体化输液顺序智能调控前、后的研究阶段,以输液优先级合理例数占比、老年患者批次液体量适宜例数占比、隔开组间配伍禁忌例数占比、冲管次数及费用等为考察指标评价调控效果。结果:实现个体化输液顺序调控后,输液优先级合理例数占比由调控前的5.56%上升至调控后的98.72%,老年患者批次液体量适宜例数占比由9.58%上升至98.10%,隔开组间配伍禁忌例数占比由41.03%上升至99.12%,冲管次数由(12.95±0.57)次/病区/d下降至(0.95±0.43)次/病区/d,冲管费用节约8.58万元/年。结论:个体化输液顺序调控的实现促进了患者输液使用的安全、有效,也为国内PIVAS药师开展精准化药学服务提供了借鉴。OBJECTIVE: To establish the infusion sequence regulation procedure of PIVAS, and implement individual regulation. METHODS:By combining factors such as liquid volume of each batch,incompatibility between groups and specific solvents of specific drugs,intelligent prompt system and the artificial intelligent regulation system of infusion sequence were successively established to sequence the therapeutic drugs and adjuvant drugs used for the patients with different diagnoses and different purposes in different inpatient areas in a day,so as to realize intelligent control of individual infusion sequence. From Jan.to Sept. in 2017 and from Jan. to Sept. in 2019 as research stages before and after the intelligent control of individualized infusion sequence,the control effect was evaluated with the proportion of reasonable number of infusion priority cases,the proportion of appropriate number of elderly patients’ batch liquid volume cases,the proportion of incompatibility cases between separate groups,the number and cost of flushing tubes as index. RESULTS:After regulating infusion sequence individually,the proportion of reasonable infusion priority rose from 5.56% to 98.72%;the proportion of batch liquid quantity appropriate cases in elderly patients rose from 9.58% to 98.10%;the proportion which separated the incompatibility between groups rose from 41.03% to 99.12%;the number of washing tube dropped to(0.95±0.43)times/ward/d from(12.95±0.57)times/ward/d;the cost of washing tube could be saved 85 800 yuan/year. CONCLUSIONS:The implementation of individualized infusion sequence regulation promote safe and effective infusion,and provide reference for pharmacists of PIVAS in China to carry out precise pharmaceutical care.

关 键 词：静脉用药调配中心 输液顺序 智能调控 个体化 

分 类 号：R952[医药卫生—药学]