静脉用药调配中心自动化建设的应用与实践

Application and Practice of Automation Construction of Pharmacy Intravenous Admixture Service

目的:探讨静脉用药调配中心(PIVAS)引进自动化设备对工作效率及质量的影响。方法:收集大理大学第一附属医院PIVAS启用自动化设备前后3个月工作效率和差错率数据进行统计分析,评价其应用效果。结果:每张医嘱排药时间由(4.93±0.82)s降至(2.20±0.61)s,差错率由(1.16±0.23)‰降至(0.42±0.17)‰;贴签时间由(3.14±0.68)s降至(1.01±0.53)s,差错率由(0.92±0.43)‰降至(0.09±0.01)‰,人员由6人降至4人;西林瓶每瓶剥盖时间由(1.01±0.31)s降至(0.87±0.11)s,人员由4人降至1人;每瓶西林瓶、安瓿瓶配液时间分别由(3.93±1.37)、(3.04±1.21)s降至(2.71±0.74)、(2.54±0.39)s,差错率由(1.20±0.31)‰降至(0.24±0.04)‰;每瓶成品输液分拣、扫描打包时间由(15.75±2.11)s降至(5.42±1.77)s,差错率由(3.15±0.21)‰降至(0.16±0.10)‰,人员由7人降至4人。结论:PIVAS自动化建设在节省人力资源的同时,明显提高了工作效率和药学服务质量。

Objective:To investigate the influence of automation equipment on work efficiency and quality in pharmacy intravenous admixture services(PIVAS).Methods:The data of the efficiency and the error rate of PIVAS in the First Affiliated Hospital of Dali University before and after 3 months of automation equipment application were collected and analyzed,and then its application effect was evaluated.Results:The filling time of each prescription had decreased from(4.93±0.82)s to(2.20±0.61)s,and the error rate decreased from(1.16±0.23)‰to(0.42±0.17)‰.The labeling time had decreased from(3.14±0.68)s to(1.01±0.53)s,the error rate decreased from(0.92±0.43)‰to(0.09±0.01)‰,and the personnel reduced from 6 to 4 persons.The decapping time of each bottle of penicillin had decreased from(1.01±0.31)s to(0.87±0.11)s,and the personnel reduced from 4 persons to 1 person.The preparation times of each bottle of penicillin and ampoule had decreased from(3.93±1.37)s and(3.04±1.21)s to(2.71±0.74)s and(2.54±0.39)s respectively,the error rate decreased form(1.20±0.31)‰to(0.24±0.04)‰.The sorting,scanning and packing time of infusion had decreased from(15.75±2.11)s to(5.42±1.77)s,the error rate decreased from(3.15±0.21)‰to(0.16±0.10)‰,and the personnel reduced from 7 to 4 persons.Conclusion:The automation construction of PIVAS not only saves human resources,but also significantly improves the work efficiency and pharmaceutical care quality.