静脉输液自动加药混合调配系统在我院静脉用药调配中心的开发与应用

Development and Application of Automatic Dosing and Mixing System of Intravenous Infusion in PIVAS of Our Hospital

目的:介绍静脉输液自动加药混合调配系统在我院静脉用药调配中心(PIVAS)的开发与应用情况。方法:基于现有的PIVAS条码管理系统,结合自动混合调配设备,我院开发并设计了可实现药品实时扫描计费、混合调配参数设置以及静脉输液自动加药混合调配的静脉输液自动加药混合调配系统。通过与人工调配模式比较,考察5名工作人员共调配注射用复合辅酶、注射用卡络磺钠各300袋静脉输液的加药效率和空瓶内药液残留量,评价该系统的应用效果。结果:该系统实现了静脉输液的自动化混合调配,且在人工调配与系统自动调配模式下,注射用复合辅酶的加药效率分别为(96.6±10.0)、(193.5±20.0)袋/h(P<0.001),空瓶内药液残留量分别为(0.09±0.02)、(0.11±0.01)mL;注射用卡络磺钠的加药效率分别为(83.8±12.9)、(118.8±6.7)袋/h(P<0.001),空瓶内药液残留量分别为(0.08±0.02)、(0.12±0.01)mL;残留量均低于注入溶剂体积不超过5%(≤0.15 mL)的内控标准。结论:我院静脉输液自动加药混合调配系统可提高静脉输液调配工作效率,减少工作人员的强度。

OBJECTIVE:To introduce the development and application of automatic dosing and mixing system of intravenous infusion in PIVAS of our hospital.METHODS:Based on the bar code management system in PIVAS,combined with automatic mixing equipment,our hospital developed and designed automatic dosing and mixing system of intravenous infusion which could realize real-time scanning and charging of drugs,setting parameters of mixed dispensing and automatic dosing and mixed dispensing of intravenous infusion.Compared with manual dispensing model,work efficiency of 5 staff who dispensed Coenzyme complex for injection and Carbazochrome sodium sulfonate for injection 300 bags each as well as the amount of drug residues in empty bottle were investigated to evaluate the effects of the system.RESULTS:The system realized automatic mixing of intravenous infusion.In manual dispensing model and automatic dispensing model,the mixing efficiency of Coenzyme complex for injection were(96.6±10.0)and(195.2±10.7)bag/h(P<0.001);mixing efficiency of Carbazochrome sodium sulfonate for injection were(83.8±12.9)and(118.8±6.7)bag/h(P<0.001).The amount of residual liquid in Coenzyme complex for injection empty bottle were(0.09±0.02)and(0.11±0.01)mL;Carbazochrome sodium sulfonate for injection empty bottle were(0.08±0.02)and(0.12±0.01)mL,which were all lower than the internal control requirements that injected solvent volume was no more than 5%(0.15 mL).CONCLUSIONS:The automatic dosing and mixing system of intravenous infusion could improve the efficiency of intravenous infusion dispensing and reduce the labor intensity of the staff.