全程信息化管理在我院PIVAS的应用实践

Application of Whole Process Information Management in PIVAS of Our Hospital

目的:对静脉用药集中调配中心(PIVAS)进行全程信息化管理,以促进PIVAS工作质量和工作效率的提升。方法:从审方、医嘱处理、仓外调配等6个方面介绍天津医科大学肿瘤医院(简称我院)PIVAS实施的全程信息化管理;选取2015年6月-2017年2月我院PIVAS的相关数据,采用回顾性分析和前后对照的研究方法评价我院PIVAS自2016年5月起实施全程应用信息化管理后的效果。结果:通过全程信息化管理系统的使用及相关管理上的改进,我院PIVAS在审方、医嘱处理、仓外调配、仓内调配、仓内核对、自动化分拣各环节实现了医嘱初审、药品数量统计、记录溯源、工作量统计、责任人与操作时间的记录等功能,同时实现了全过程的可追溯性和可查询性以及管理考核工作的量化统计。与实施前比较,实施后6项工作效率指标提升了33.3%~86.1%(P<0.05);4项工作质量指标改善了28.6%~66.7%(P<0.05);成品输液质量指标提升了12.5%(P<0.05)。结论:在PIVAS中进行全程信息化管理可提高工作质量和工作效率,并可提升管理考核工作的便捷性。

OBJECTIVE:To conduct whole process information management in PIVAS of our hospital,and to promote the work quality and efficiency of pharmacy intravenous admixture service(PIVAS).METHODS:The whole process information management in PIVAS of Tianjin medical university cancer hospital(it is called our hospital for short)was introduced in respects of prescription review,medical order disposal,the deployment of the outboard and so on.Related data were selected from PIVAS of our hospital during Jun.2015-Feb.2017.The effects of whole process information management in PIVAS of our hospital in May 2016 were evaluated by retrospective analysis,pre and post control research method.RESULTS:Through the application of whole process information management system,the improvement of relevant management,the functions of primary checking of medical order,drug quantity statistics,record traceability,workload account,responsible person and operation time recording were realized in the links of prescription checking,medical order processing,outboard allocation,inboard allocation,cabin checking,automatic sorting.Compared with before application,6 indexes of work efficiency were improved by 33.3%-86.1%after application(P<0.05);4 indexes of the work quality were improved by 28.6%-66.7%(P<0.05);quality index of finished product infusion was improved by 12.5%(P<0.05).CONCLUSIONS:The application of whole process information management in PIVAS can improve work quality and efficiency,and facilitate the convenience of management assessment.