静脉药物配置中心医嘱审核信息反馈模式的作用评价

Evaluation of the effects of comprehensive information feedback mode on auditing medical orders between PIVAS and clinical departments

目的探讨我院静脉药物配置中心（PIVAS）和临床科室间医嘱审核信息综合反馈模式的作用，为PIVAS和临床科室间医嘱审核信息反馈机制的构建提供参考。方法收集我院PIVAS和临床科室间医嘱审核信息综合反馈模式实施前后，医嘱审核信息反馈的工作内容、满意度以及不合理医嘱开出率等情况，进行分析评价。结果医嘱审核信息的反馈模式具有较好的认可度，临床科室与PIVAS双向满意度均明显提升（P〈0.05），不合理医嘱开出率明显下降（P〈0.05），满意度和不合理医嘱开出率间呈强相关性。结论PIVAS和临床科室间医嘱审核信息综合反馈模式的建立，提升了PIVAS临床服务质量，对PIVAS工作的有序开展具有重要作用。

ObjectiveTo evaluate the effects of information feedback mode on auditing medical orders between pharmacy intravenous admixture services （PIVAS） and clinical departments.MethodsSorting and analyzing the work contents, satisfaction, and unreasonable medical order rates before and after auditing medical orders between PIVAS and clinical departments by using the information feedback mode.ResultsThe information feedback mode of auditing medical orders has been well accepted. For example, the satisfaction between clinical departments and PIVAS was increased significantly （P〈0.05）, and unreasonable medical order rate was decreased significantly as well （P〈0.05）. There was a strong correlation between satisfaction and unreasonable medical order rate.ConclusionsEstablishment of comprehensive information feedback mode for auditing medical order between PIVAS and clinical departments has improved the PIVAS quality of clinical service, and strongly supported the introduction of PIVAS.