我院PIVAS主要工作环节优化及成效分析

Optimization and Effectiveness Analysis of Main Work Links in PIVAS in Our Hospital

目的:提高静脉用药集中调配中心(PIVAS)的工作质量。方法:对我院PIVAS工作中的两个主要环节(贴标签、混合配制)进行流程优化,并比较优化前后工作效率和工作差错。结果:通过在贴标签时采取增加标识和调整贴签人员工作范围、在混合配制时改进待配药品在各层流台配制的分配原则等优化措施提高了工作效率,降低了工作差错率;与优化前比较,优化后每袋输液贴签用时由(2.69±0.17)s降至(2.19±0.08)s,批配制总用时由(104±2)min降至(83±2)min,配制差错率由0.34%降至0.16%。结论:优化后的工作流程提高了PIVAS的工作质量。

OBJECTIVE:To improve the work quality in Pharmacy intravenous admixture service(PIVAS). METHODS:The major working links of PIVAS(labeling and drug admixture)were optimized,the work efficiency and error before and after optimization were compared. RESULTS:The work efficiency was improved and error was decreased by adding logo and adjusting work range of personnel when labeling and improving distribution principles of drugs to be allocated in horizontal laminar flow table when drug admixture;compared with before,the labeling time for each bag decreased from(2.69±0.17)s to(2.19±0.08)s,total time for admixture decreased from(104 ± 2) min to(83 ± 2) min,error rate of drug admixture decreased from 0.34% to0.16%. CONCLUSIONS:The optimized work flow had improved the work quality of PIVAS.