我院静脉药物配置中心工作流程优化分析和评价

Analysis and Evaluation of PIVAS Workflow Optimization in Our Hospital

目的:分析评价我院静脉药物配置中心(Pharmacy Intravenous Admixture Service,PIVAS)经过流程优化后的效果。方法:药师、护士一对一分组配置,由药师完成配置前、配置后的药品、溶媒及空安瓿的核对工作,护士按照操作规范完成输液配置。对比优化前和优化后5个月时间的配置工作量、各环节差错量、安瓿或成品破损情况等。结果:流程优化后,工作效率明显提高,相同的工作量使用的时间较以往减少约0.5 h,出现差错的几率下降40%以上,配置前及配置过程中安瓿破损减少60%。结论:优化PIVAS工作流程提高了工作效率与管理水平。

Objective： To analyze and evaluate the effect after the PIVAS worldlow optimization in our hospital. Methods： Onefor-one grouping preparation was carried out by pharmacists and nurses. The checking of medicines, solvents and empty ampoules before and after the preparation .was performed by pharmacists, and the preparation of infusions was operated by nurses according to the operation specification. The preparation workload, error number in each link and damage of ampoules and finished goods before the optimization and in 5 months after the optimization were compared. Results： The working efficiency was obviously improved with less time of about 0.5 h for the same workload, the error rate was decreased by 40%, and the ampoule damage was reduced by 60% before and during the preparation. Conclusion： The PIVAS workflow optimization improves the working efficiency and management level.