基于医院信息系统研究PIVAS自动输液批次决策系统

Research on PIVAS automatic IV fluid batch decision system based on hospital information system

目的通过静脉输液批次决策的自动化、标准化以及个体化,实现静脉用药调配中心(PIVAS)工作同质化和高效化,进而促进临床安全合理用药。方法根据药物使用的时辰药理学,调查分析人工决策输液批次存在的问题,建立批次时间划分表和制定批次决策规则,基于医院信息系统构建自动输液批次决策系统。由药师维护自动输液批次决策系统,针对该系统的应用效果评价分析。结果应用自动批次决策软件后,PIVAS批次不合格率下降,输液时间合理性提高。审方药师用于决策输液批次的时间减少,大幅度提高PIVAS和病区护士工作效率,同时降低PIVAS输液配送出错频率。结论自动输液批次决策系统构建完成之后,用药时间更合理,提高药物治疗效果;PIVAS工作效率明显提高,工作质量显著提升,输液批次不合格率降低,患者输液批次真正做到编排一致性,提高用药时间合理性,进而使临床用药更合理、更安全,实现个体化治疗。

Objective Through the automation,standardization and individualization of intravenous(IV)fluid batch decision-making,to realize the homogenization and high efficiency of Pharmacy Intravenous Admixture Services(PIVAS),to promot safe and rational clinical drug use.Methods According to the pharmacology of drug use,the problems existing in manual IV fluid batch decision were investigated and analyzed,and an automatic IV fluid batch decision system was constructed based on hospital information system.Batch time division table and batch decision rules were established,automatic IV fluid batch decision system was maintained by pharmacists,the application effect of the system were evaluated and analyzed.Results The unqualified rate of PIVAS batch decreased,and the rationality of IV transfusion time increased.The time for prescription checking pharmacists to make IV fluid batch decisions was shortened,which greatly improved the work efficiency of PIVAS and nurses,and reduced the error frequency of PIVAS IV fluid distribution.Conclusions After the completion of the automatic IV fluid batch decision system,the medication time is more reasonable and the drug treatment effect is improved.The work efficiency and quality of PIVAS are significantly improved,and the unqualified rate of IV fluid batches is reduced.The IV fluid batches of patients are really arranged in a consistent way,and the rationality of medication time is improved,so that clinical medication is more reasonable and safer,and individualized treatment is realized.