无纸化质控管理系统在静脉用药调配中心的开发与应用

Development and Application of Paperless Quality Control Management System in Pharmacy Intravenous Admixture Service

目的:建立和完善无纸化质控管理系统,考察该系统在静脉用药调配中心(PIVAS)的应用效果。方法:介绍南京医科大学附属苏州医院设计并开发无纸化质控管理系统的功能特点,比较启用前后无纸化率、质控指标达标率,并调查员工对系统的满意度,评价应用效果。结果:无纸化质控管理系统启用后,无纸化率从3.55%升到94.24%(χ^(2)=5363.779,P<0.01),各类纸质成本下降;质控指标达标率由85.56%±1.92%提高到93.33%±1.92%(t=6.360,P<0.01);员工对系统总体满意度得分(36.05±2.85)分(总分42分),87.80%PIVAS员工高度满意。结论:无纸化质控管理系统的应用,实现了质控管理工作的电子数据采集、实时动态监测以及智能化预警和信息提醒;PIVAS质控从“事后质控”到“事前质控”,实现全流程质控管理信息化和智能化,保障患者用药安全。

Objective:To establish and improve the paperless quality control management system and evaluate its application effect in the pharmacy intravenous admixture service(PIVAS).Methods:Functional features of paperless quality control management system designed and developed in our hospital were introduced,the paperless rate and compliance rate of quality control indicators before and after implementation of the system were compared,and the satisfaction with the system in medical staff was investigated to evaluate the application effects.Results:After the implementation of paperless quality control management system,the paperless rate increased from 3.55%to 94.24%(χ^(2)=5,363.779,P<0.01),and various paper costs decreased.The compliance rate of quality control indicators increased from 85.56%±1.92%to 93.33%±1.92%(t=6.360,P<0.01).The overall satisfaction score in the medical staff was(36.05±2.85)points(out of a total score of 42 points),and 87.80%of PIVAS staff were highly satisfied.Conclusion:The application of paperless quality control management system has realized electronic data collection,real-time dynamic monitoring,intelligent warning,and information reminders in quality control management work.PIVAS quality control has shifted from“post-event quality control”to“pre-event quality control,”achieving full-process quality control management informatization and intelligentization and ensuring medication safety for patients.