静脉药物配置中心合理用药工作模式的研究

Discussion on Reasonable Medication Work Mode in Pharmacy Intravenous Admixture Service( PIVAS)

目的:探讨以静脉用药调配中心(PIVAS)为平台的静脉用药处方(医嘱)审核工作模式的效果和意义。方法:通过对我院25个临床科室PIVAS集中配制静脉输液前后静脉用药不合理处方进行分析,考察以PIVAS为平台对静脉用药处方审核干预的效果。结果:建立实时静脉用药处方审核干预流程,明显提高处方审核率及不合理处方更正率,降低了处方不合理率;提高了处方审核质量,保障了患者的用药安全。结论:以静脉配液中心为平台的处方实时静脉用药处方审核干预流程,显著提高静脉用药处方的合理用药水平,最大程度规避不合理处方的安全隐患,共同保障患者用药安全,有利于更好的提供药学服务,为医院临床药学的发展提供新平台。

Objective： To discuss the effect and significance of reasonable medication review mode for intravenous medical advice on the platform of pharmacy intravenous admixture service（ PIVAS）.Methods： The effect of prescription review interference in intravenous drugs on the platform of PIVAS was studied through analyzing irrational prescriptions before and after the performance of PIVAS for 25 departments in our hospital. Results： The real-time review and interference procedure for intravenous transfusion was established,which could significantly increase the percentage of reviewed medical advice and the correction rate of irrational medical advice,and reduce the percentage of irrational medical advice. The medical advice review quality was also increased,which could guarantee the medication safety in patients. Conclusion： The real-time review and interference procedure for intravenous transfusion on the platform of PIVAS can significantly improve the rational medication level of intravenous drugs and avoid the hidden danger of irrational medical advice to the maximum extent to ensure the medication safety in patients,which is also beneficial to the provision of medication service and new platform establishment for the development of clinical pharmacy in hospitals.