我国PIVAS自动化设备配备现状调查及发展建议

Current status and development suggestions of PIVAS automated equipment allocation in China

目的调查目前我国医疗机构静脉用药调配中心(PIVAS)自动化设备配备情况,为了解PIVAS自动化建设现状及发展方向提供参考。方法以问卷调查的形式,通过“问卷星”平台对全国30个省份的医疗机构PIVAS发放问卷,对PIVAS自动化设备配备情况、智能静脉用药调配机器人配备情况、工作流程软件的设计开发情况和自动化设备信息对接方式4个方面的内容进行调查,并进行统计分析。结果共761个PIVAS参与调研,有373个PIVAS配备了自动化设备。在配备了自动化设备的373个PIVAS中,以配备自动成品输液分拣机和自动贴签机为主,93.56%的PIVAS未配备智能静脉用药调配机器人;511个PIVAS使用第三方软件公司设计开发的工作流程软件;在自动化设备信息对接方式方面,没有自动化设备、自动化设备直接与医院信息系统对接以及自动化设备与PIVAS软件平台对接,这3种情况的占比差距不大。结论我国PIVAS的自动化设备配备率较低,还有很大的发展空间。我国应该尽快完善自动化设备相关指引,促进设备研发规范合理,促使PIVAS更高效地完成静脉用药调配,以提供更完善的药学服务。

OBJECTIVE To investigate the current allocation status of automated equipment in pharmacy intravenous admixture services(PIVAS)of medical institutions in China,and to provide reference for understanding the current status and future direction of PIVAS automation construction.METHODS In the form of a questionnaire survey,a questionnaire was distributed to medical institutions in 30 provinces across the country through the“Wenjuanxing”platform to investigate the four aspects of PIVAS,such as the allocation of automated equipment,intelligent intravenous medication dispensing robots,design and development of workflow software and information integration methods for automated equipment,and conduct statistical analysis.RESULTS A total of 761 PIVAS participated in the survey,373 PIVAS were equipped with automated equipment.Among 373 PIVAS with automated equipment,automatic finished infusion sorting machines and automatic labeling machines were the main equipment,and 93.56%of PIVAS were not equipped with intelligent intravenous medication dispensing robots;511 PIVAS used workflow software designed and developed by third-party software companies.In the project of information integration for automated equipment,there was not much difference in the proportion of cases where there was no automated equipment,automated equipment directly interfaced with hospital information systems,and automated equipment interfaced with PIVAS software platform.CONCLUSIONS The automated equipment allocation rate of PIVAS in China is relatively low,and there is still a lot of room for development.We should improve the relevant guidelines for automated equipment as soon as possible,promote standardized and reasonable equipment research and development,and enable PIVAS to more efficiently complete intravenous drug dispensing,in order to provide more comprehensive pharmaceutical services.