基于品管圈活动下构建PIVAS合理用药模式的实践与效果分析  

Practice and effect of construction of rational drug use mode of PIVAS by the activities of quality control circle

作　　者：卢芸 吴杲 傅芃 范益生 杨婷 刘姗姗 LU Yun;WU Gao;FU Peng;FAN Yisheng;YANG Ting;LIU Shanshan(Department of Pharmacy,The First Affiliated Hospital of Naval Medical University,Shanghai 200433,China)

机构地区：[1]海军军医大学第一附属医院药剂科,上海200433

出　　处：《药学实践与服务》2023年第9期566-571,共6页Journal of Pharmaceutical Practice and Service

摘　　要：目的探讨基于品管圈活动建立PIVAS合理用药模式,提升PIVAS药师医嘱审核服务质量,促进临床合理用药。方法通过医院信息管理(HIS)系统提取2014-2021年PIVAS接收的医嘱,统计并分析不合理医嘱类型,运用品管圈的方法进行改进。结果PIVAS合理用药模式形成制式流程,医嘱审核服务能力明显提升,其中,PIVAS不合理医嘱数量和百分比均逐年下降,不合理医嘱的每个类型也呈逐年改进。结论通过创建PIVAS合理用药模式,形成PIVAS数字化审方准则,提升了我院药师医嘱审核专业技术水平,促进临床合理用药,药学服务质量得到明显提升,确保了临床患者的用药安全。Objective To establish a rational drug use model of PIVAS and promote the rational drug use in clinical practices by enhancing the quality of prescription review by pharmacists.Methods The PIVAS physician orders received from 2014 to 2021 were extracted through the hospital information management(HIS)system.The types of irrational physician orders were statistically analyzed,the improvements were made by the method of quality control circle(QCC).Results The model of PIVAS rational drug use formed a standardized process.The proficiency of physician order review was improved.From 2014 to 2021,the number and proportion of unreasonable physician orders in PIVAS decreased year by year.Every type of unreasonable physician orders was improved year by year.Conclusion The professional and technical levels of pharmacist for physician order review at our hospital were improved by the model of PIVAS rational drug use.The quality of pharmaceutical service was significantly improved which ensured the safety of patients'medication.

关 键 词：静脉药物调配中心 处方审核 合理用药模式 品管圈 药学服务 

分 类 号：R95[医药卫生—药学]