河北省医疗机构静脉用药调配中心医嘱审核现状多中心横断面调查  

A multicenter cross-sectional survey on the medical order review status of Pharmacy Intravenous Admixture Services in Hebei Province

作　　者：庞国勋[1,2] 岳圆圆 王洋[3] 赵亚男 王志恒 刘姗 PANG Guoxun;YUE Yuanyuan;WANG Yang;ZHAO Yanan;WANG Zhiheng;LIU Shan(Department of Pharmacy,Hebei General Hospital,Shijiazhuang 050000,China;Hebei Provincial Key Laboratory of Clinical Pharmacy,Shijiazhuang 050000,China;Department of Pharmacy,Xingtai General Hospital of North China Medical and Health Group,Xingtai 054099,Hebei Province,China)

机构地区：[1]河北省人民医院药学部,石家庄050000 [2]河北省临床药学重点实验室,石家庄050000 [3]华北医疗健康集团邢台总医院药学部,河北邢台054099

出　　处：《药学前沿》2025年第2期327-333,共7页China Pharmacist

基　　金：河北省医学科学研究课题计划项目(NO.20220054)。

摘　　要：目的了解河北省静脉用药调配中心(PIVAS)医嘱审核现状,分析存在问题并提出改进建议,为进一步提高PIVAS医嘱审核质量提供参考依据。方法2024年1月1日至6月30日,采用问卷调查的形式,以河北省药学质控中心对PIVAS验收为时间节点,对省内34家医疗机构PIVAS医嘱审核概况、内容、质控及审核药师继续教育情况进行横断面调查,并对调查结果进行统计分析。结果34家PIVAS(三级医院27家,非三级医院7家)中,三级和非三级医院的医嘱审核药师均以本科学历(6.19±10.35)vs.(5.29±5.22)和中级职称(5.31±5.07)vs.(2.71±2.14)人数居多;由专职药师参与医嘱审核的PIVAS仅有11家;采用“信息系统+人工复核”模式审核医嘱的PIVAS共有30家,其中三级医院数量显著高于非三级(P<0.001);仅有3家医院PIVAS开展了全医嘱审核,且均为三级医院;仅5家三级医院和2家非三级医院的审方药师参加查房、会诊及危重病例讨论,差异无统计学意义(P>0.05)。结论河北省医疗机构PIVAS医嘱审核在保证静脉用药安全、有效等方面取得了一定的成绩,但仍需要提高药师服务技能及信息化建设水平,规范医嘱审核内容,加强医嘱审核质控,逐步建立医嘱审核标准化操作流程。Objective To understand the current situation of medical order review of Pharmacy Intravenous Admixture Services(PIVAS)in Hebei Province,analyze the existing problems,and propose suggestions to provide reference for further strengthening the quality control of medical order review of PIVAS.Methods From January 1,2024 to June 30,2024,in the form of a questionnaire survey,a cross-sectional survey was conducted on the overview,content,quality control and continuing education of pharmacists in 34 PIVAS of medical institutions in Hebei Province,and the results were statistically analyzed.Results In 34 PIVAS(27 in tertiary hospitals and 7 in non-tertiary hospitals),both tertiary and nontertiary hospitals had the majority of pharmacists to review the medical orders(6.19±10.35)vs.(5.29±5.22)with a bachelor's degree and intermediate professional title(5.31±5.07)vs.(2.71±2.14).Only 11 PIVAS had full-time pharmacists to review the medical orders.A total of 30 PIVAS used the"information system+manual review"mode for prescription review,with a significantly higher number in tertiary hospitals compared to non-tertiary hospitals(P<0.001).Only 3 hospitals'PIVAS conducted full prescription reviews,all of which were tertiary hospitals.Only 5 tertiary hospitals and 2 non-tertiary hospitals had prescription review pharmacists participating in ward rounds,consultations,and discussions of critical cases,with no statistically significant difference(P﹥0.0.5).Conclusion The medical order review of PIVAS in Hebei Province has achieved certain results in ensuring the safety and effectiveness of infusion,but it is still necessary to enhance pharmacist service skills and information construction level,standardize the content of medical order review,strengthen the quality control of medical order review,and gradually establish a standardized operation process for medical order review.

关 键 词：静脉用药调配中心 问卷调查 医嘱审核 横断面调查 合理用药 

分 类 号：R952[医药卫生—药学]