我院PIVAS应急管理脆弱性分析

Analysis of Emergency Management Vulnerability in PIVAS of Our Hospital

目的:了解我院静脉用药集中调配中心(PIVAS)应急管理的薄弱环节,提高处理突发事件的能力,为医院PIVAS风险防范管理提供参考。方法:组织我院PIVAS员工对应急事件的发生频率、严重性等方面进行综合评估,通过计算风险积分、划分风险等级进行脆弱性分析,并制定风险控制方法对我院PIVAS进行应急管理。结果:我院PIVAS存在重大风险、高度风险、中度风险、低度风险、轻微风险的应急事件分别有8、5、5、4、2项,其中重大风险的应急事件有信息系统故障、发药机故障、细胞毒性药品溢出、药品送错科室等,风险积分分别为129.81、109.92、102.01、86.49。通过对应急事件进行培训、规范操作、定期检查等针对性管理,2015年上半年与2014年同期相比,药品送错科室、细胞毒性药品溢出、设备类及信息系统故障类等分别下降81.82%(4次vs.22次)、75%(1次vs.4次)和63.5%(15次vs.40次)。结论:我院PIVAS根据脆弱性分析结果,完善了科室相关的应急预案和培训演练,能够有效应对相关应急事件的发生。

OBJECTIVE：To explore the weaknesses of emergency management in PIVAS of our hospital,improve the ability to handle emergencies,and provide reference for risk management in PIVAS.METHODS：Frequency and severity of emergency events were evaluated comprehensively by the workers in PIVAS.Emergency events vulnerability was analyzed in PIVAS of our hospital by calculating risk score,classify risk degree and risk control method was developed for management.RESULTS：There were 8 serious risk emergency events,5 high-risk ones,5 moderate-risk ones,4 low-risk ones and 2 mild-risk ones in PIVAS of our hospital.The high-risk events included information system and drug dispensing machine failure,cytotoxic drugs overflow,drug delivery to wrong department,etc;risk scores of these emergency events were 129.81,109.92,102.01,86.49,respectively.Through emergency event training,standard operation,regular check and other management measures,drug delivery to wrong department,cytotoxic drugs overflow,failures of equipment and information systems were decreased by 81.82%（4 times vs.22times）,75%（1 time vs.4 times）and 63.5%（15 times vs.40 times）,which compared between first half year of 2015 and 2014.CONCLUSIONS：Based on the results of vulnerability analysis,relevant emergency plans and training exercises in departments have been improved and the occurrence of relevant emergency events can be disposed effectively.