摘要
目的:了解甘肃省各医疗机构静脉用药调配中心(PIVAS)运行及建设现状,为甘肃省PIVAS的进一步发展提供参考。方法:通过问卷调查法,针对甘肃省医疗机构PIVAS建设及运行过程中存在的问题和现状,邀请甘肃省各医疗机构药学部负责人或PIVAS负责人开展调查,并对问卷结果进行统计分析。结果:甘肃省现有22家医疗机构建有PIVAS,其中11家PIVAS(50.00%)已运行,3家(13.64%)已建成待展开,8家(36.36%)建设中;甘肃省PIVAS平均建筑面积(652.94±376.06) m^(2),日均调配量为(1 814.10±1 609.47)袋,调配量较低;甘肃省PIVAS各功能区域和操作台配备完善,信息化和自动化建设状况较好;已运行的11家PIVAS中,药学人员为(30.84±18.25)%,占比较低;已运行的11家PIVAS中,长期医嘱服务率为(93.18±7.54)%,临时医嘱服务率为(50.00±22.73)%,部分医院尚未实现肠外营养制剂和细胞毒性药品的全部调配;已运行的PIVAS中仅有1家(9.09%)收取所用药物种类的配置费,有4家(36.36%)只收取肠外营养制剂和细胞毒性药品的配置费,且收费标准远远低于配置成本;医院各个层面对PIVAS工作的认可程度较高。结论:甘肃省PIVAS存在数量少、调配量低、医嘱服务范围较窄等特点,PIVAS未全部发挥功能,各医疗机构PIVAS负责人希望通过促进配置费的收取,使更多医院看到PIVAS的价值,加快PIVAS建设,充分发挥甘肃省PIVAS在保障全省人民静脉用药安全中的作用。
OBJECTIVE To understand the operation and construction status of Pharmacy Intravenous Admixture Services(PIVAS) in medical institutions in Gansu Province, and to provide reference for its further development.METHODS Through questionnaire survey, the basic situation and contents of PIVAS construction and operation were investigated, the principals of pharmacy department or PIVAS in Gansu medical institutions were studied, and the questionnaire results were statistically analyzed.RESULTS There are 22 PIVAS in medical institutions in Gansu Province, among which 11(50.00%) are in operation, 3(13.64%) have been built and are waiting to be started, and 8(36.36%) are under construction. The average building area of PIVAS in Gansu Province is(652.94±376.06) m^(2), and the daily allocation is(1 814.10±1 609.47) bags with low allocation. PIVAS in Gansu Province are well equipped with all functional areas and operating stations, and the construction of informatization and automation is in good condition. In the 11 PIVAS in operation, the proportion of pharmaceutical personnel is(30.84±18.25)%, which is relatively low. Among the 11 PIVAS in operation, the long-term order service rate is(93.18±7.54)%, and the temporary order service rate is(50.00±22.73)%. Some hospitals have not realized the complete dispensing of parenteral nutrition preparations and cytotoxic drugs. Among the PIVAS in operation, only 1(9.09%) charges the configuration fee for all the types of drugs, and 4(36.36%) only charge the configuration fee for parenteral nutrition preparations and cytotoxic drugs, and the charging standard is far lower than the configuration cost. The work of PIVAS is highly recognized at all levels of the hospital.CONCLUSION The number of PIVAS in Gansu Province is small, the amount of dispensing is low, the scope of medical order service is narrow, and the functions of PIVAS are not fully implemented. It is hoped that more hospitals can understand the value of PIVAS through the collection of configuration fees, accelerate the construction of PIVAS, and give full play to the role of PIVAS in ensuring the intravenous drug safety for the people in Gansu Province.
作者
吴迪
张明霞
韦薇
刘富强
李茂星
WU Di;ZHANG Ming-xia;WEI Wei;LIU Fu-qiang;Li Mao-xing(Department of Clinical Pharmacy,The 940th Hospital of Joint Logistic Support Force of Chinese People's Liberation Army,Gansu Lanzhou 730050,China;College of Pharmacy,Ningxia Medical University,Ningxia Yinchuan 750004,China;Gansu Institute for Drug Control,Gansu Lanzhou 730070,China)
出处
《中国医院药学杂志》
CAS
北大核心
2022年第15期1594-1599,共6页
Chinese Journal of Hospital Pharmacy
