我院PIVAS个体化输液顺序调控实践研究
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篇名: 我院PIVAS个体化输液顺序调控实践研究
TITLE:
摘要:
摘 要 目的建立静脉用药调配中心PIVAS输液顺序调控流程并实施个体化调控方法建立智能提醒和人工智能输液顺 序调控系统结合每批次液体量组间配伍禁忌特定药品的特定溶剂等因素设定调控规则自动针对不同病区不同诊断不同用 药目的的患者一天内使用的治疗药物和辅助用药等进行先后排序以实现个体化输液顺序智能调控选择20171-9月和2019 1-9月分别为个体化输液顺序智能调控前后的研究阶段以输液优先级合理例数占比老年患者批次液体量适宜例数占比隔开组间配伍禁忌例数占比冲管次数及费用等为考察指标评价调控效果结果实现个体化输液顺序调控后输液优先级合理 例数占比由调控前的5.56上升至调控后的98.72老年患者批次液体量适宜例数占比由9.58上升至98.10隔开组间配伍禁忌 例数占比由41.03上升至99.12冲管次数由12.95±0.57/病区/d下降至0.95±0.43/病区/d冲管费用节约8.58万元/结论个体化输液顺序调控的实现促进了患者输液使用的安全有效也为国内PIVAS药师开展精准化药学服务提供了借鉴
ABSTRACT:
ABSTRACT OBJECTIVETo establish the infusion sequence regulation procedure of PIVASand implement individual
regulation. METHODSBy combining factors such as liquid volume of each batchincompatibility between groups and specific
solvents of specific drugsintelligent prompt system and the artificial intelligent regulation system of infusion sequence were
successively established to sequence the therapeutic drugs and adjuvant drugs used for the patients with different diagnoses and
different purposes in different inpatient areas in a dayso as to realize intelligent control of individual infusion sequence. From Jan.
to Sept. in 2017 and from Jan. to Sept. in 2019 as research stages before and after the intelligent control of individualized infusion
sequencethe control effect was evaluated with the proportion of reasonable number of infusion priority casesthe proportion of
appropriate number of elderly patientsbatch liquid volume casesthe proportion of incompatibility cases between separate groupsthe number and cost of flushing tubes as index. RESULTSAfter regulating infusion sequence individuallythe proportion of reasonable infusion priority rose from 5.56to 98.72the proportion of batch liquid quantity appropriate cases in elderly patients rose from 9.58to 98.10the proportion which separated the incompatibility between groups rose from 41.03to 99.12the number of washing tube dropped to0.95±0.43times/ward/d from12.95±0.57times/ward/dthe cost of washing tube could be saved 85 800 yuan/year. CONCLUSIONSThe implementation of individualized infusion sequence regulation
promote safe and effective infusionand provide reference for pharmacists of PIVAS in China to carry out precise pharmaceutical
care.
期刊: 2020年第31卷第1期
作者: 邱 季,李 睿,朱文靖,刘 婷,刘云洁,戴 夫
AUTHORS: QIU Ji,LI Rui,ZHU Wenjing,LIU Ting,LIU Yunjie,DAI Fu
关键字: 静脉用药调配中心;输液顺序;智能调控;个体化
KEYWORDS: PIVAS;Infusion sequence;Intelligent regulation;Individualized
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