我院静脉用药集中调配中心自动化智能建设与实践

Automated Intelligent Construction and Practice of PIVAS in Our Hospital

目的:探讨我院静脉用药集中调配中心(PIVAS)的自动化智能建设及效果。方法:介绍我院PIVAS自动化智能建设的主要情况,收集我院PIVAS自动化智能建设前(2016年7-9月)、后(2016年10-12月)相关工作环节的用时和差错率,评价建设效果。结果:我院在PIVAS的摆药、贴签、分拣以及配送环节进行了自动化智能建设,并进行了相关的制度和流程建设。自动化智能建设后,每张医嘱摆药用时由建设前的(6.78±0.87)s缩短至(2.65±0.71)s,贴签用时由(3.24±0.71)s缩短至(1.41±0.55)s,分拣每袋输液成品用时由(13.37±2.84)s缩短至(5.33±1.72)s,配送相同数量的输液用时由(35.64±4.33)min缩短至(18.12±3.57)min(P<0.05);摆药差错率由(2.35±0.59)‰降至(0.26±0.21)‰,贴签差错率由(1.51±0.45)‰降至(0.22±0.10)‰,分错病区差错率由(3.47±1.02)‰降至(0.17±0.10)‰,配送差错率由(1.33±0.55)‰降至(0.13±0.11)‰(P<0.05)。结论:我院PIVAS自动化智能建设后工作效率提高、差错率降低,降低了潜在的用药风险,提升了PIVAS管理水平。

OBJECTIVE：To explore the automated intelligent construction and effect of pharmacy intravenous admixture services（PIVAS）in our hospital. METHODS：The main situation of automated intelligent construction and effect of PIVAS in our hospital was introduced,the time and error rate of related links before（Jul.-Sept. 2016）and after（Oct.-Dec. 2016）the automated intelligent construction of PIVAS in our hospital were collected,and its effects were evaluated. RESULTS：Our hospital conducted automated intelligent construction in selecting,labeling,sorting and delivering medicines in PIVAS and established related system and process construction. After automated intelligent construction,time for selecting medicines per medical order was shortened from（6.78±0.87）s to（2.65±0.71）s;time for labeling was shortened from（3.24±0.71）s to（1.41±0.55）s;time for sorting a bag of finished infusion was shortened from（13.37±2.84）s to（5.33±1.72）s;and time for delivering the same amount of infusion shortened from（35.64 ± 4.33） min to（18.12 ± 3.57） min（P0.05）. The error rate of selecting medicines was decreased from（2.35±0.59）‰ to（0.26±0.21）‰;error rate of labeling was decreased from（1.51±0.45）‰ to（0.22±0.10）‰;error rate of misclassifying in a wrong ward was decreased from（3.47±1.02）‰ to（0.17±0.10）‰;and error rate of delivering was decreased from（1.33±0.55）‰ to（0.13±0.11）‰（P0.05）. CONCLUSIONS：The automated intelligent construction in PIVAS of our hospital has improved work efficiency,reduced error rate and potential medication risk and improved management level in PIVAS.