摘要
目的介绍静脉用药集中调配中心(PIVAS)智能一体化设备设计思路及应用情况,评价其在降低人力成本、减少差错发生及提升工作效率等方面的实践效果。方法针对PIVAS工作环节中的输液出入库、贴标签、发筐、针剂摆药及成品输液分拣进行模块化硬件设计,通过医院内部局域网对各模块可编程逻辑控制器进行互通控制及数据交互,实现PIVAS智能输液出入库、智能贴标签、智能发筐、智能针剂摆药、智能分拣及数据追溯等功能,比较使用该设备前后工作指标,评估其应用价值。结果应用该设备后,PIVAS贴签及摆药人数由每天4人降至1人;单个医嘱贴签及摆药平均耗时由(7.01±0.56)s缩短至(6.54±0.44)s;应用前后人工贴签与智能贴签均未发生差错,单月医嘱针剂摆药差错由6件降低至1件,单月成品输液分拣差错由12件降低至2件;成品输液分拣时间由(1.22±0.08)h缩短至(0.91±0.06)h,平均每袋分拣时间由(4.24±0.34)s缩短至(2.92±0.21)s,均差异有统计学意义(P<0.01)。结论PIVAS智能一体化设备降低了医院人力资源投入及差错发生率,提高了工作效率并减轻了工作人员劳动强度。
Objective To introduce the idea of designing and on-site application of the integrated intelligent equipment of pharmacy intravenous admixture services(PIVAS)in our hospital;and to evaluate its practical effect in reducing labor cost,lowering error occurrence,as well as improving work efficiency.Methods The main steps of the PIVAS work process included infusions log in/out,labeling,distributions,injections placing and infusion sorting,and modular hardware was designed for those steps.Through the hospital internal local area network(LAN)programmable modules,the logic controller interoperability control,and data interaction,we realized the functions of intelligent control and data traceability of PIVAS intelligent integrated equipment so as to achieve intelligent infusion log in/out,smart labeling,smart distribution,intelligent injections placing and intelligent sorting.Through statistical methods,its performance was evaluated by comparing working index of before and after implementing this system within one month.Results The number of staff to complete daily labeling and distribution decreased from 4 to 1 with the new system.The average time-consuming for each prescription’s labeling and placing reduced from(7.01±0.56)s to(6.54±0.44)s.There are no mistakes in labeling for both way handlings.The number of errors in monthly prescriptions of injections placing reduced from 6 to 1 after application this system;the monthly infusions sorting errors reduced from 12 to 2 pieces;the total sorting time shortened from(1.22±0.08)h to(0.91±0.06)h;And finished infusion sorting time per bag shortened from(4.24±0.34)s to(2.92±0.21)s.The data showed statistically different(P<0.01).Conclusion The comprehensive application of PIVAS integrated intelligent equipment reduces the input of human power and the error rate,improves the work efficiency,as well as reduces the labor intensity.
作者
耿洲
邓剑彪
魏淑波
管海燕
蔺维维
马宏兵
潘杰
GENG Zhou;DENG Jianbiao;WEI Shubo;GUAN Haiyan;LIN Weiwei;MA Hongbing;PAN Jie(Department of Pharmacy,the Second Affiliated Hospital of Soochow University,Suzhou 215000,China;Soochow Houhong Technology Co.,Ltd.,Suzhou 215000,China)
出处
《医药导报》
CAS
北大核心
2022年第11期1694-1699,共6页
Herald of Medicine
基金
苏州市科技局民生科技-关键技术应用专项课题(SS2019042)
苏州大学附属第二医院学科托举项目(XKTJ-XK202010)
苏州市科技局民生科技-应用基础项目(SYSD2018099)。
关键词
静脉用药集中调配中心
智能一体化设备
Pharmacy intravenous admixture services
Intelligent integratied equipment
