自制配药安瓿一体柜车在静脉输液配药中的应用与效果评价

Application and evaluation in clinical dispensing of self-made-dispensing-ampoule Car

目的评价自制配药安瓿一体柜车在静脉输液配药中的应用效果。方法根据人机工程学原理自行设计配药安瓿一体柜车,是基于配药流程链为一体的医疗废物临时承载装置。其外观整体采用304不锈钢材质构成,分为上下2层。上层采用不锈钢制成一个整体的药杯孔穴架,可与车体的上层面整体分离,药杯是用于承装配药后的小空药瓶。下层设计为滑道式平板,能放置3个医疗废物分类收纳盒,万向车轮上设车闸,便于车体移动和固定。对42名急诊科护士使用此装置前后1年的药物配制差错率、护士配制同批患者药量的配药时间以及配药输液时往返缓冲间处理倾倒医疗废物的次数进行比较。结果使用后组护士药物配制差错发生率、护士的配药时间及配药输液时往返处理倾倒废物的次数分别为0.31?(3/97 785)、(70.08 ± 3.28)min/次、2次,使用前组分别为1.95?(18/92 095)、(110.04 ± 6.91)min/次、30次,2组比较差异有统计学意义(χ^2=11.64、204.16,t=71.70,P<0.01)。结论使用配药安瓿一体柜车在静脉输液配药中能优化配药流程,保证患者静脉输液安全,提高护士工作效率省时省力。

Objective To evaluate the application of self-made-dispensing-ampoule car in the medicine dispensing for venous transfusion. Methods The self-made-dispensing-ampoule car made based on the ergonomics is a temporary carrier device for medical waste in the need of the whole process of dispensing process. The overall exterior is made of 304 stainless steel, separated into 2 layers. The Upper layer has a frame with integral medicine glass hole made of stainless steel, which can be dismantled from the upper layer. The medicine glasses are small empty medicine bottles used to hold the dispensed medicine;while the lower layer is a slide platform which can put on 3 medical waste classification boxes. The bottom has universal wheels with brakes to help the car move and stop. To focus on 42 emergency department nurses using the device, to analyze their error rate of medicine dispensing, the dispensing time for the same batch of patients with same dosages and shuttle time from dispensing car to buffer room to pour medical waste and compare the data the year before and the year using the device. Results After using it, the dispensing error occurrence rate and nurses dispensing time and shuttle times of pouring waste were 0.31 ?(3/97 785),(70.08±3.28) min/time, two times, which were all obviously lower than 1.95?(18/92 095),(110.04±6.91) min/time, 30 times without using it (χ^2=11.64, 204.16, t=71.70, all P<0.01). Conclusion Using the dispensing ampoule car can optimize the dispensing process in dispensing of venous transfusion, ensure patients with safe venous transfusion, raise the efficiency of nurses saving time and efforts.