静脉药物配置中心建设的必要性及面临的困难

Necessary and Problems in Construction of Pharmacy Intravenous Admixture Service Center

随着PIVAS的服务范围和配置范围的不断扩大、配置制度的不断完善,国内PIVAS的建设已是大势所趋。PIVAS的作用主要体现在:确保了药品配置质量和静脉用药安全;有利于临床药学的发展;增强了职业防护;提高了护理工作质量;有利于制定合理的用药方案和减少药品浪费,降低医疗成本。但建设过程中仍存在诸多问题,如PIVAS建设缺乏标准;缺乏药物配置种类标准,覆盖面受限;运行成本高却不能收费;管理体制不明确以及停药导致的药物浪费等。因此,根据医院自身特点,选择合适规模、运行模式的PIVAS是目前医院管理者需要思考和探索的问题。

This is a general situation to build a pharmacy intravenous admixture service according to the progressive enlargement of service scope and the improvement of standards. PIVAS assures the admixture quality and the safety of pharmacy, which also improves the clinic pharmacy, career defence and nursing quality. It also helps to build a feasible pharmacy design and to reduce the use and cost of pharmacy. But we still come across some dilemmas. There is no standard of building a PIVAS, not even for standard kinds of pharmacy. PIVAS costs a lot but we cant earn any money. Who should be the leader of PIVAS depends on the power of pharmacy and the nursing administration department. It also brings waste of pharmacy when the doctor stops the orders after it is admixed. It reminds a question for the hospital administrators to build a PIVAS suitable for the hospital itself.