Effects of Improving and Upgrading the Management System of Pharmacy Intravenous Admixture Service on Work Quality and Efficiency

WANG Xidan; YE Xiaoyun; HE Wen; PANG Chengsen; DONG Weihua; FENG Weiyi

doi:10.14009/j.issn.1672-2124.2021.08.025

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Effects of Improving and Upgrading the Management System of Pharmacy Intravenous Admixture Service on Work Quality and Efficiency

更新时间：2022-10-08

- Effects of Improving and Upgrading the Management System of Pharmacy Intravenous Admixture Service on Work Quality and Efficiency
- Vol. 21, Issue 8, Pages: 1003-1006(2021)
- 作者机构：
  
  西安交通大学第一附属医院药学部
- 作者简介：
- 基金信息：
- DOI：10.14009/j.issn.1672-2124.2021.08.025
  CLC： R95
- Published：2021，
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WANG Xidan, YE Xiaoyun, HE Wen, et al. Effects of Improving and Upgrading the Management System of Pharmacy Intravenous Admixture Service on Work Quality and Efficiency. [J]. 21(8):1003-1006(2021)
DOI：

WANG Xidan, YE Xiaoyun, HE Wen, et al. Effects of Improving and Upgrading the Management System of Pharmacy Intravenous Admixture Service on Work Quality and Efficiency. [J]. 21(8):1003-1006(2021) DOI： 10.14009/j.issn.1672-2124.2021.08.025.

摘要

目的:评价西安交通大学第一附属医院（以下简称"我院"）静脉用药调配中心（pharmacy intravenous admixture service

PIVAS）管理系统的改进升级对PIVAS工作效率与工作质量的影响。方法:我院于2019年底对PIVAS的功能和架构重新设计和优化

包括将医嘱后置审核升级为前置审核、优化用药批次和瓶签打印等。对2019—2020年我院PIVAS实施的医嘱进行回顾性分析

根据PIVAS新系统实施时间不同

将2019年的医嘱划分为改进前

将2020年的医嘱划分为改进后

比较改进前后的不合理医嘱拦截率和工作效率。结果:改进后

我院PIVAS的不合理医嘱拦截率较改进前显著提高

差异有统计学意义[4.38‰（8 533/1 948 511）与0.90‰（1 724/1 915 675）比较

=4 417.150

0.001]。改进后

常规药品不合理医嘱拦截率[0.64‰（1 253/1 948 511）与0.19‰（355/1 915 675）比较

=486.587

0.001]、细胞毒性药物不合理医嘱拦截率[0.15‰（293/1 948 511）与0.01‰（26/1 915 675）比较

=218.996

0.001]和全胃肠外营养药物不合理医嘱拦截率[0.09‰（176/1 948 511）与0.02‰（44/1 915 675）比较

=76.982

0.001]均较改进前显著提高

医嘱同步时间（t=101.468

0.001）、批次优化耗时（t=129.802

0.001）和打印耗时（t=57.816

0.001）均较改进前显著缩短

上述差异均有统计学意义。结论:改进升级后的PIVAS管理系统显著提高了PIVAS各环节的工作效率和工作质量

值得推广应用。

Abstract

OBJECTIVE: To evaluate the effects of improving and upgrading the management system of pharmacy intravenous admixture service（ PIVAS） in the First Affiliated Hospital of Xi’an Jiaotong University（ hereinafter referred to as “our hospital”） on work quality and efficiency. METHODS: At the end of 2019

our hospital redesigned and optimized the function and architecture of PIVAS

including upgrading the post-review of medical orders to pre-review

optimizing drug batch and bottle label printing. Medical orders implemented in PIVAS of our hospital from 2019 to2020 were retrospectively analyzed. According to different implementation time of new PIVAS system

the medical orders in 2019 were extracted as before improvement

and the medical orders in 2020 were extracted as after improvement

and the interception rate and work efficiency of irrational medical orders before and after improvement were compared. RESULTS: After improvement

the rate of interception of irrational medical orders in PIVAS of our hospital was significantly higher than those before improvement

and the difference was statistically significant[4. 38‰（ 8 533/1 948 511） compared with 0. 90‰（ 1 724/1 915 675）

= 4 417. 150

0. 001]. After improvement

the interception rate of irrational medical orders for conventional drugs[0. 64‰（ 1 253/1 948 511） compared with 0. 19‰（ 355/1 915 675）

= 486. 587

0. 001]

the interception rate of irrational medical orders for cytotoxic drugs[0. 15‰（ 293/1 948 511） compared with 0. 01‰（ 26/1 915 675）

= 218. 996

0. 001]and the interception rate of irrational medical orders for total parenteral nutrition drugs[0. 09‰（ 176/1 948 511） compared with 0. 02‰（ 44/1 915 675）

= 76. 982

0. 001] were significantly higher than those before improvement

the synchronization time of medical orders（ t = 101. 468

0. 001）

batch optimization time（ t = 129. 802

0. 001） and printing time（ t= 57. 816

0. 001） were significantly shorter than those before improvement

with statistically significant differences. CONCLUSIONS: The upgraded PIVAS management system has significantly improved the work quality and efficiency in all aspects of PIVAS

which is worth promoting and applying.

关键词

静脉用药调配中心信息管理系统前置审核

Keywords

Pharmacy intravenous admixture serviceInformation management systemPre-review

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