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基于智能辅助设备的PIVAS工作新流程研究
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| 篇名： | 基于智能辅助设备的PIVAS工作新流程研究 |
| TITLE： | Study on the new workflow of PIVAS based on intelligent auxiliary devices |
| 摘要： | 目的 构建静脉用药调配中心（PIVAS）工作新流程，有效串联智能化设备，促进PIVAS智能化发展。方法基于智能辅助设备优化PIVAS工作流程，建立智能审方（自动审方+人工干预）、智能贴签、智能调配、智能分拣、成品输液质量检测体系的流程化模式。考察智能审方的不合理医嘱率，智能贴签机、智能分拣机的工作效率及差错率，智能配药机器人的调配效率及精准度。结果智能审方模式下不合理医嘱由0.157%下降为0.050%（P＜0.05）；自动贴签效率为21.7张/min，高于人工贴签效率的13.8张/min（P＜0.05），日贴签差错率由6.1‰降至2.5‰（P＜0.05）；同时操作2台智能配药机器人显著提高了批量调配效率，降低药液残留量（P＜0.05）；并建立成品输液质量检测体系（外观性状、丁达尔效应、不溶性微粒、浊度、吸光度、pH与渗透压），以保证成品输液质量，降低输液风险。结论我院PIVAS与智能化设备串联的新流程能够提高PIVAS全流程作业效率、降低调配差错，保证成品输液质量，提升药学服务水平。 |
| ABSTRACT： | OBJECTIVE To build a new workflow of pharmacy intravenous admixture services （PIVAS）， effectively connect intelligent equipment， and promote the intelligent development of PIVAS. METHODS Based on intelligent auxiliary equipment， PIVAS workflow was optimized， and a process-oriented model was established. This model integrated intelligent prescription review （automatic prescription review+manual intervention mode）， intelligent labeling， intelligent allocation， intelligent sorting， and finished infusion quality inspection system. Furthermore， an assessment was conducted to examine unreasonable medical order rate of intelligent prescription review， the working efficiency and error rate of intelligent labeling machine and intelligent sorting machine， and the dispensing efficiency and accuracy of intelligent dispensing robot. RESULTS Under the intelligent prescription review mode， the rate of unreasonable medical orders decreased from 0.157% to 0.050% （P＜0.05）； automatic labeling efficiency reached 21.7 sheets/min， surpassing the manual labeling efficiency of 13.8 sheets/min （P＜0.05）， and the daily labeling error rate decreased from 6.1‰ to 2.5‰ （P＜0.05）. Simultaneously operating two dispensing robots significantly improved the efficiency of batch dispensing and reduced the residual amount of liquid medicine （P＜0.05）； additionally， a quality testing system for finished infusion was established， involving appearance， Tyndall effect， insoluble particles， turbidity， absorbance， pH and osmotic pressure， to ensure the quality of finished infusion and reduce the risk of infusion. CONCLUSIONS The new process of PIVAS connected with intelligent devices in our hospital can improve work efficiency， reduce dispensing errors， ensure the quality of finished infusion， and improve the level of pharmaceutical care. |
| 期刊： | 2026年第37卷第01期 |
| 作者： | 丁海文；刘圣；陈昭琳；唐丽琴；童彤 |
| AUTHORS： | DING Haiwen，LIU Sheng，CHEN Zhaolin，TANG Liqin，TONG Tong |
| 关键字： | 静脉用药调配中心；智能化；流程优化；调配效率；成品输液质量 |
| KEYWORDS： | pharmacy intravenous admixture service； intelligent； workflow optimization； dispensing efficiency； quality of |
| 阅读数： | 86 次 |
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