信息智能技术在某妇产科三级医院静脉用药配置中心的应用  

Application of Information-Intelligence Technologies in Pharmacy Intravenous Admixture Services in Chinese Obstetrics and Gynecology Tertiary Hospital

作　　者：金经[1] 何宇卿 汤静 JIN Jing;HE Yuqing;TANG Jing(Department of Pharmacy,The Obstetrics and Gynecology Hospital of Fudan University,Shanghai 200090,China)

机构地区：[1]复旦大学附属妇产科医院药学部,上海200090

出　　处：《中国药学杂志》2024年第18期1773-1778,共6页Chinese Pharmaceutical Journal

基　　金：中国医药教育协会药事管理模式创新与药物临床综合评价研究项目资助(2022-ZXKT041-07)。

摘　　要：目的探讨分析发现-组织领导-明确情况-分析了解-改进方案(find organize clarify understand select,FOCUS)-计划-执行-检查-行动(plan do check act,PDCA)模式和信息智能技术在静脉用药配置中心(pharmacy intravenous admixture services,PIVAS)药学服务和绩效评估中的应用。方法运用FOCUS-PDCA、医院网络信息操作系统(hospital information system,HIS)和前置审方合理用药软件系统,分析2020—2023年PIVAS药学服务和绩效评估的数据。结果通过FOCUS-PDCA和信息智能技术,有效提高了PIVAS药品服务质量和绩效管理水平。发现处方审核规则提高了医生的建议和干预率,干预率从14.64%下降到6.96%,而干预成功率从48.15%上升到62.89%,前后差异有统计学意义(均P<0.05);优化PIVAS培训教育体系,定期开展科学教育;改进了药品配送流程,提高工作效率;优化原有考核表,提高药师的积极性。结论FOCUS-PDCA方法可以解决PIVAS药学服务中存在的问题,充分调动药师团队的积极性,提高PIVAS药学后服务质量,可在PIVAS中推广应用。OBJECTIVE To investigate the application of the find organize clarify understand slet and information-intelligence technology to pharmacy intravenous admixture services(PIVAS)pharmaceutical service and performance evaluation.METHODS This paper used FOCUS-PDCA,the HIS,and the pre-examination prescription rational drug use software system to analyzed PIVAS data from 2020-2023.RESULTS PIVAS has greatly improved its pharmaceutical service and employee performance.It was found that the prescription review rules improved physician advice and intervention rates.The intervention ratio(intervention/audit)dropped from 14.64%to 8.64%,while the intervention success ratio rose from 48.15%to 64.50%.Before and after the library was established,the differences were statistically significant(both P<0.05);the PIVAS training and education system was optimized,and science education was regularly conducted;the drug supply process was improved to increase work efficiency;and a set of staff performance appraisal forms for static dispensing was developed,increasing staff motivation.CONCLUSION The FOCUS-PDCA cycle approach may address PIVAS pharmaceutical service problems,fully mobilize pharmacist team enthusiasm,and greatly improve PIVAS post pharmaceutical service quality,which can be promoted in PIVAS.

关 键 词：静脉用药配置中心 药学服务 智能信息技术 妇产科医院 

分 类 号：R95[医药卫生—药学]