标准化PIVAS成品核对岗位管理体系的构建与实施  

Construction and implementation of standardized post management system for finished intrarenous infusion product rechecking in PIVAS

作　　者：聂春杰[1] 李坤 杜书章[1] 聂会娟[1] 尹钊[1] 张晓坚[1] NIE Chun-jie;LI Kun;DU Shu-zhang;NIE Hui-juan;YIN Zhao;ZHANG Xiao-jian(Department of Pharmacy,First Affiliated Hospital of Zhengzhou University,Henan Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院药学部,河南郑州450052

出　　处：《中国医院药学杂志》2022年第15期1583-1586,共4页Chinese Journal of Hospital Pharmacy

基　　金：2020年度重大新药创制科技重大专项(编号:2020ZX09201009)。

摘　　要：目的:构建并实施静脉用药调配中心成品核对岗位标准化管理体系,保障临床用药安全。方法:统计郑州大学第一附属医院静脉用药调配中心不合格成品问题及占比,采用问卷调查法统计影响药师成品核对质量的相关因素,从成品核对耗时、药品调配残留判定标准、工作内容及岗位说明等方面建立标准化管理系统并实施,比较实施前后不合格成品检出率。结果:共发现11种不合格成品问题,19个成品核对质量影响因素,成品核对耗时平均11秒/袋。静脉用药调配中心针对问题编制标准化工作内容及岗位说明,标准化管理体系实施后不合格成品检出率显著增加(P<0.05)。结论:构建成品核对岗位标准化管理系统有助于加强成品核对岗位管理,促进临床安全用药。OBJECTIVE To establish and implement a standardized management system for finished intravenous infusion product rechecking in PIVAS,and to guarantee the safety of clinical drug use.METHODS The problems and proportion of unqualified finished intravenous infusion product in our hospital were counted.The questionnaire survey method was used to investigate the influencing factors in the quality of pharmacist rechecking work for finished intravenous infusion product.The standardized management content of finished intravenous infusion product rechecking position was constructed and implemented from the aspects of time consuming in rechecking,residue determination criteria for intravenous drug preparations,work content and job description.The detection rate of unqualified finished intravenous infusion product was compared before and after the implementation of the standardized management system.RESULTS Totally 11 kinds of unqualified problems of finished intravenous infusion product were found.There were 19 factors affecting the quality of rechecking for finished intravenous infusion product.It took average 11 seconds to recheck one bag of finished intravenous infusion product.Standardized work content and job description of finished intravenous infusion product rechecking were established.The detection rate of unqualified finished intravenous solutions after the implementation of the standardized management system increased significantly(P<0.05).CONCLUSION The establishment of standardized management system for finished intravenous infusion product rechecking post is helpful to strengthen post management and promote clinical safety of drugs.

关 键 词：静脉用药调配中心 成品输液核对 岗位标准化 

分 类 号：R952[医药卫生—药学]