我院静脉用药调配中心成品输液标签的设计升级

Design and Upgrading of Finished Infusion Label in PIVAS of Our Hospital

目的:对合肥滨湖医院静脉用药调配中心(PIVAS)成品输液标签进行设计升级,以提高静脉用药的安全性和有效性。方法:通过调研PIVAS药师及临床护理人员对输液标签的使用体会及相关建议,以清晰、简洁、重点突出、布局合理、信息全面等为改进原则,对原标签信息布局进行设计升级;并以升级前、后各30 d内标签(分别为94701、113759组)的扫描识别率、扫描时间、扫描速率,药师摆药核对正确率、摆药核对时间、摆药核对速率及针对PIVAS药师(30人)、护理人员(50人)和患者(49人)进行的标签满意度调查结果为指标评价升级后效果。结果:升级后的标签简化了部分内容并优化了布局结构,删除了冗余内容,重点显示了护理人员核对时需要关注的患者安全信息,增添了输液顺序及输液注意事项的标注,并通过将条形码换为二维码同时增设隐显功能,提供了更多与患者输液相关的药品及合理用药知识信息。与原标签比较,升级后新标签扫描识别率由99.27%上升至99.96%,扫描时间由3518.75 s/d缩短至2110.10 s/d,扫描速率由0.57组/s提升至0.95组/s,摆药核对正确率由99.73%上升至99.91%,摆药核对时间由5423.55 s/d缩短至4818.85 s/d,摆药核对速率由0.36组/s提升至0.41组/s;药师满意度由70.00%提升至93.33%,护理人员满意度由62.00%提升至90.00%,患者满意度由20.40%提升至89.80%。结论:成品输液标签的设计升级可提高相关工作人员的工作效率,提升药学服务、护理质量及满意度,促进患者静脉用药安全性和有效性的提高。

OBJECTIVE:To design and upgrade the finished infusion label in PIVAS of Hefei Binhu hospital,so as to improve the safety and effectiveness of intravenous medication.METHODS:By investigating the experience and suggestions about the use of infusion labels by pharmacists and clinical nurses in PIVAS,taking clear,concise,focused,rational layout,comprehensive information as improving principle,the infusion label was designed and upgraded.The effect of upgrading were evaluated by the recognition rate of label scanning,scanning time and rate on label(94701,113759 groups,respectively),and the correct rate,time and rate of drug delivery checking in 30 days before and after upgrading,as well as satisfaction degree,which made among PIVAS pharmacists(30),nurses(50)and patients(49).RESULTS:The upgraded label simplified part of the content and optimized the layout structure,removed redundant content,focused on the patient safety information that nurses needed to pay attention to when checking,and added the marking of infusion sequence and precautions.By changing the barcode into two-dimensional code and adding hidden display function,more information about drugs and rational drug use related to the infusion of patients was provided.Compared with original label,after upgrading,the recognition rate of new label scanning increased from 99.27%to 99.96%,the scanning time reduced from 3518.75 s/d to 2110.10 s/d,and the scanning rate increased from 0.57 group/s to 0.95 group/s;the correct rate of drug delivery checking increased from 99.73%to 99.91%,the time of drug delivery checking decreased from 5423.55 s/d to 4818.85 s/d,and the speed of drug delivery checking increased from 0.36 group/s to 0.41 group/s.The satisfaction degree of pharmacists,nurses and patients were increased from 70.00%to 93.33%,from 62.00%to 90.00%,from 20.40%to 89.80%,respectively.CONCLUSIONS:The design and upgrading of infusion labels can improve the working efficiency of staff,and improve the quality of pharmaceutical care and nursing care,and satisfaction,promote the improvement on the safety and effectiveness of intravenous medication for patients.