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PIVAS泵入药品配置常见差错分析及改进措施

Analysis of common errors of PIVAS pumped drug configuration and improvement measures
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摘要 目的 分析医院静脉用药调配中心(PIVAS)泵入药品配置中出现的常见差错原因,并提出相应的改进措施。方法 将2022年1~12月医院PIVAS配置的泵入药品发生的差错数据作为对照组,2023年1~12月实施改进措施后的差错数据作为观察组,比较两组的差错发生情况。结果 2022年1~12月泵入药品配置310 758组,配置差错53组,差错率0.017 1%,2023年1~12月泵入药品配置342 714组,配置差错28组,差错率为0.008 2%,降幅达52.05%。结论 经过总结分析泵入药品配置中出现的差错原因,实施相应的改进措施,有效降低了泵入药品配置差错率,减少了成品输液的不良反应,保证了临床的用药安全。 Objective To analyze the common causes of errors in the pumped drug configuration of the pharmacy intravenous admixture services(PIVAS)in our hospital,and put forward corresponding improvement measures.Methods The error data of pumped drugs in our hospital from January to December 2022 was used as the control group,and the error data after the implementation of improvement measures from January to December 2023 was taken as the observation group,pumped drug configurationthe occurrence of errors was compared between the two groups.Results From January to December 2022,the pumped drug configuration was 310758 groups,of which 53 were wrong in configuration,the error rate was 0.0171%;From January to December 2023,the pumped drug configuration was 342714 groups,of which 28 were wrong in configuration,the error rate was 0.0082%,a decrease of 52.05%.Conclusion After summarizing and analyzing the causes of the errors in the configuration of the pumped drug,and implementing the corresponding improvement measures,the paper effectively reduces the error rate of the pumped drug configuration,reduces the adverse reactions of the finished infusion,and ensures the clinical safety of the drug use.
作者 胡琼文 黄晓英 HU Qiongwen;HUANG Xiaoying(Department of Pharmacy,Children's Hospital of Chongqing Medical University,National Clinical Research Center for Children's Health and Diseases,Key Laboratory of Pediatric Developmental Diseases of Ministry of Education,Key Laboratory of Child Infection and Immunization Rare Diseases,Chongqing 400014,China)
出处 《中国处方药》 2024年第11期52-55,共4页 Journal of China Prescription Drug
关键词 静脉用药调配中心 泵入药品 常见差错 改进措施 Pharmacy intravenous admixture services Pumped drug Common errors Improvement measures
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