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目的:探讨静脉药物配制中心(PIVAS)的安全管理方法和效果,并分析安全管理在PIVAS管理工作中的重要意义。方法:选择2014年10~2015年1月开展PIVAS强化安全管理模式前舟山医院静脉药物配制中心工作情况为对照组,选择142007例静脉药物进行研究,2015年2~5月开展强化安全管理模式后我院静脉药物配制中心工作情况为干预组,取135597例静脉药物进行研究。对比两组工作中液体窜科率,液体贴错率,药物装错率,停药处理错误率。结果:对照组中有15例液体发生窜科,13例液体贴错,20例药物装错,10例停药处理错误;干预组中5例液体窜科,4例液体贴错,7例药物装错,2例停药处理错误。结论:实行强化安全管理模式后,PIVAS静脉药物配制过程中的安全缺陷显著减少,安全质量水平和管理水平得到明显提高,提示强化安全管理是静脉药物配制中心药物配置的一项有效管理方法。
Objective: To explore the safety management methods and effects of PIVAS and to analyze the importance of safety management in PIVAS management. Methods: To select the 14,2007 intravenous drugs in the Zhoushan Hospital venous drug preparation center in PIVAS from January 2014 to January 2015 to conduct the safety management mode. From February to May 2015, the safety management mode was strengthened. Our hospital intravenous drug preparation center for the intervention group, taking 135,597 intravenous drug research. Comparing the two groups of work in the liquid channeling rate, liquid paste the wrong rate, drug loading error rate, stop processing error rate. Results: In the control group, 15 cases of fluid occured, 13 cases were misplaced, 20 cases were misbranded and 10 cases were not treated correctly. In the intervention group, 5 cases of fluid channeling, 4 cases of misplaced fluid and 7 cases of drug Mounted wrong, 2 cases stop treatment error. Conclusions: After the implementation of the enhanced safety management model, the safety defects of PIVAS in intravenous drug formulation were significantly reduced, and the safety and quality levels and management level were significantly improved. It is suggested that enhanced safety management is an effective management method of drug allocation in intravenous drug formulation center.