摘要
目的:减少静脉药物集中调配中心(PIVAS)工作差错。方法:收集我院PIVAS 2013年8-12月记录的排药区和配制区的各种内差和外差,分析其类型及原因,自2014年1月起制订相应的防范措施并实施,再次收集2014年3-8月的差错情况评价实施效果。结果与结论:针对发生原因制订了包括采用单药单筐排放药品、扩大日盘点药品范围、禁止交叉调配、对每月差错进行汇总统计分析等改进措施。与改进前(2013年8月-2014年1月)比较,改进后(2014年3-8月)排药区和配制区差错率平均下降41.81%、44.87%,并呈逐月下降趋势,各类型内差均有下降,杜绝了外差。建议定期对PIVAS工作进行总结和分析并制订改进措施,以不断减少差错发生,提高静脉药物配制质量。
OBJECTIVE：To reduce mistake in Pharmacy intravenous admixture service（PIVAS）. METHODS：Internal errors and external errors of arrangement area and dispensing area were collected from PIVAS of our hospital during Aug.-Dec. 2013,and types and reasons of them were analyzed. Relevant prevention measures were formulated and implemented since Jan. 2014. The errors of PIVAS were collected again during Mar.-Aug. 2014 to evaluate the effects of measures. RESULTS CONCLUSIONS：Considering the reasons,improvement measures had been formulated,such as one drug in one basket,enlarging daily inventorying range,prohibiting cross dispensing,summarizing and analyzing monthly error. Compared with before improvement（Aug.2013-Jan.2014）,error rate of arrangement area and dispensing area after improvement（Mar.-Aug. 2014）decreased by 41.81% and 44.87%,decreasing month by month;various internal errors decreased and external error was eliminated. It is suggested to summarize and analyze PIVAS works regularly and formulate improvement measures,so as to reduce the occurrence of errors gradually and improve the quality of intravenous drug dispensing.
出处
《中国药房》
CAS
北大核心
2016年第4期563-566,共4页
China Pharmacy
关键词
静脉药物集中调配中心
差错防范
合理用药
Pharmacy intravenous admixture service
Error prevention
Rational drug use
