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基于质量分析法的PIVAS成品输液称质量复核管理模式的建立与实践
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| 篇名： | 基于质量分析法的PIVAS成品输液称质量复核管理模式的建立与实践 |
| TITLE： | Establishment and Practice of Management of Weighting Recheck for Finished Intravenous Solution in PIVAS Based on Weight Analysis Method |
| 摘要： | 目的：对医院静脉用药调配中心（PIVAS）成品输液复核和分拣质量进行管理，为降低静脉用药调配差错率、提高静脉输液的质量与安全提供参考。方法：采用质量分析法测定输液成品中主药、溶媒、输液瓶的质量，并在PIVAS信息管理系统中增加维护质量信息，计算成品输液标示质量，并用于成品核对。比较称质量复核管理实施前（2019年3－5月，n＝83006）、实施后（2019年6－8月，n＝83173）的日均成品核对量、成品核对时间、每袋成品平均核对时间、配制差错检出率、外部差错、成品输液批次及时性，评价成品称质量复核管理的实施效果。结果：与称质量复核管理实施前比较，称质量复核管理实施后的日均成品核对量、液体标签贴错造成配制错误的差错检出率和送药批次不及时次数差异均无统计学意义（P＞0.05）；成品核对时间、每袋成品平均核对时间和药品加减错误检出率、药品剂量配制错误检出率、总差错检出率均显著延长或增加（P＜0.05），且外部差错发生数显著减少（P＜0.05）。结论：称质量复核管理提高了PIVAS药品配制的准确性和安全性，能显著提高差错检出率，减少外部差错的发生；但其延长了核对环节的工作时间，亟待通过信息化、自动化手段予以解决。 |
| ABSTRACT： | OBJECTIVE：To management recheck and sorting weight for finished intravenous solutions in PIVAS ，to provide reference for reducing dispensing error and improving the safety and quality of intravenous infusion therapy. METHODS ：The weight analysis method was used to determine the weight of main drug and solvent in the finished intravenous solutions and infusion bottle . The weight maintenance information was added in PIVAS information management system ，and the marked weight of finished intravenous solutions was calculated for the verification of finished intravenous solutions. Average daily check quantity of finished product ，checking time ，average checking time of finished products per bag ，detection rate of dispensing error ，external error and timeliness of finished infusion batch were compared before （Mar.-May，2019，n＝83 006）and after （Jun.-Aug.，2019， n＝83 173）management. The effects of weighting recheck management were evaluated. RESULTS ：Compared with before the implementation of weighting recheck management ，there were no significant differences in the average daily check quantity of finished products ，the detection rate of dispensing errors caused by wrong labeling of liquid ，or the times of delayed drug delivery batches after the implementation of weighting recheck management （P＞0.05）. The checking time of finished products ，average checking time of finished products per bag ，the number of bags added or subtracted error ，detection rate of dose dispensing error ， total error detection rate prolonged or increased significantly （P＜0.05），and the number of external error was decreased significantly（P＜0.05）. CONCLUSIONS ：The weighting recheck management improves the accuracy and safety of PIVAS preparation，effectively improves error detection rate ，reduces the occurrence of external error ，but prolongs the time of checking ， which are urgent to be solved by information and automation means. |
| 期刊： | 2020年第31卷第24期 |
| 作者： | 李苏平，吴秀萍，刘银丽，纪志慧，刘冬梅 |
| AUTHORS： | LI Suping ，WU Xiuping ，LIU Yinli，JI Zhihui ，LIU Dongmei |
| 关键字： | 静脉用药调配中心；称质量复核管理模式；质量分析法；成品输液 |
| KEYWORDS： | Pharmacy intravenous admixture service ；Weighting recheck management ；Weighting analysis method ；Finished |
| 阅读数： | 316 次 |
| 本月下载数： | 9 次 |
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