我院PIVAS中4类特殊药品的管理与风险控制

Management and Risk Control of 4 Kinds of Special Drugs in PIVAS of Our Hospital

目的:加强PIVAS中4类特殊药品的管理与风险控制,促进安全用药。方法:对我院PIVAS中的4类特殊药品(高警示药品、危害药品、重要药品/贵重药品、皮试药品)等采取分类精准管理;采用追踪方法学对管理效果进行评价。结果:通过采取制定目录、设置专用标识、固定位置贮存、加强医嘱审核、建立应急预案、逐日盘点、批号管理等措施,对4类药品实现了分类管理;规范了高警示药品的管理和使用过程,确保了危害药品的操作安全和职业防护,使重要药品/贵重药品账物相符率达到100%,基本保证了皮试药品配制与使用批号的一致性。与管理前(2015年)比较,管理后(2016年)18个评价指标中达到良好级(B级)以上的项目比例由22.23%上升到94.44%。结论:我院PIVAS采用的分类精准管理较好地控制了4类特殊药品的管理和使用风险,确保了PIVAS的安全运行。

OBJECTIVE：To strengthen the management and risk control of 4 kinds of special drugs in pharmacy intravenous admixture service（PIVAS）,and promote the drug use safety. METHODS：The 4 kinds of special drugs（high-alert drugs,hazardous drugs,important drugs/costly drugs and drugs needed for skin allergy test）in PIVAS were precisely managed by classification.The effect evaluation was carried out by tracer methodology. RESULTS：The 4 kinds of drugs were classified and managed by developing specified directory,mading special logo,fixing position storage,strengthening medical order review,establishing emergency plan,daily inventory,batch number management,etc. It had standardized the management and use process of high-alert drugs,ensured the operational safety for hazardous drug and occupational protection,made the compliance rate reached 100% of important drugs/costly drugs,and ensured the consistency of preparation and use batch number of drug for skin allergy test basically. Compared with before management（2015）,the items ratio achieving good level（class B）and above in 18 evaluation indicators had increased from 22.23% to 94.44% after management（2016）. CONCLUSIONS：The precise management by classification in PIVAS of our hospital has better controlled the management and risk of 4 kinds of special drugs in clinical use,and ensured the safe operation of PIVAS.