某儿童医院静脉药物调配中心对非整支注射药品精准剂量调配的质控管理探究及其措施  

Exploration on Quality Control Management and Measures for Precise Dosage Dispensing of Non-whole Injection Drugs in PIVAS of a Children’s Hospital

作　　者：汤迎军 周丽芳[1] 王凤娇[1] TANG Ying-jun;ZHOU Li-fang;WANG Feng-jiao(The Children's Hospital Affiliated to Soochow University,Suzhou Jiangsu 215000,China)

机构地区：[1]苏州大学附属儿童医院,江苏苏州215000

出　　处：《抗感染药学》2021年第7期1063-1067,共5页Anti-infection Pharmacy

摘　　要：目的:分析儿童医院静脉药物调配中心(pharmacy intravenous admixture services,PIVAS)对非整支注射药品精准剂量调配的质控方法与措施,为临床科室提供安全、剂量精准的静脉输液,保障患儿输液安全。方法:调取医院2020年8月—12月PIVAS常用注射药品166种的使用情况资料,分析其常用注射药品(剂型、规格、稀释要求以及溶解性等)非整支注射液精准剂量调配与患儿用药的合理性。结果:166种常用注射液中,非整支注射药品(非整支溶液型注射液、非整支注射用无菌性粉末、非整袋大输液药品)精准剂量调配,应符合儿童用药合理性要求制定相关规定,保证其用药剂量。结论:通过建立非整支注射药品质控标准,制定"调配细则"并规范操作,以提高PIVAS对成品输液调配的精准性,从而确保患儿用药的安全性、合理性。Objective: To analyze the quality control methods and measures for precise dosage dispensing of nonwhole injection drugs in pharmacy intravenous admixture services(PIVAS) of children’s hospital, so as to provide safe and precise intravenous infusion for clinical departments and to ensure the safety of children infusion. Methods: Data on the usage of 166 kinds of commonly used injectable drugs in PIVAS from August to December, 2020, were collected to analyze the rationality of precise dose allocation of commonly used injectable drugs(dosage form, specifications, dilution requirements, solubility, etc.) in non-whole injection and medication for children. Results: In 166 commonly used injections, the precise dosage of non-whole injection drugs(non-whole solution injection, non-whole aseptic powder for injection, non-whole bag of large infusion drugs) should meet the requirements of rationality of children’s medication, and relevant regulations should be formed to ensure the dosage. Conclusion: By establishing the quality control standard for non-whole injection drugs, formulating the "dispensing rules" and standardizing the operation, the precision of the dispensing of finished products by PIVAS can be improved, so as to ensure the safety and rationality of drug usage in children.

关 键 词：儿童 非整支注射药品 静脉药物调配中心 精准剂量调配 

分 类 号：R95[医药卫生—药学]