新形势下浙江省静脉药物调配中心运行管理研究

Investigation and reflection on the operation and management of Zhejiang pharmacy intravenous admixture services under the new situation

目的:为新时期各级医疗机构静脉药物调配中心(PIVAS)开展精益化管理提供方法和思路。方法:通过对浙江省26所三甲医院的PIVAS运行管理调研数据进行提取和梳理,结合新医改背景下国家相关政策导向进行数据分析和探讨。结果:参与调研的PIVAS中存在超负荷运作与资源利用不足并存的情况;日调配量越大的PIVAS,人均调配量也越大,效率越高,反之效率越低;目前各PIVAS以药学+护理运行模式为主,但护理人员占比有逐渐缩小趋势。结论:新形势下国家实施药事服务收费是保障PIVAS稳定健康运行的基础,同时也需要健全和完善PIVAS相关管理规范;各级医疗机构应积极拓展药学服务模式和开展持续质量提升。

Objective:To provide methods and ideas for the implementation of lean management for PIVAS of medical institutions at all levels in the new period.Methods:Through the survey of the operation and management of PIVAS in dozens of Grade III hospitals in Zhejiang province,combined with the guidance and influence of relevant national policies under the background of new medical reform,they were all analyzed and discussed.Results and Conclusion:Under the new situation,the national implementation of pharmacy service charges is the basis for ensuring the stable and healthy operation of PIVAS.But also it needs to improve and perfect PIVAS-related management norms,and medical institutions at all levels should actively expand the model of pharmaceutical care and carry out the continuous quality improvement.