| 高湘旻,朱凌云,章云峰.静脉药物配置中心优化工作流程效果的评价[J].中国药事,2020,34(3):371-374 |
| 静脉药物配置中心优化工作流程效果的评价 |
| Evaluation of Effectiveness of the PIVAS Workflow Optimization |
| 投稿时间：2019-06-04 |
| DOI：10.16153/j.1002-7777.2020.03.019 |
| 中文关键词: 静脉药物配置中心 优化流程 效率 成本 |
| 英文关键词: PIVAS workflow optimization efficiency cost |
| 基金项目: |
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| 摘要点击次数: 1005 |
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| 中文摘要: |
| 目的： 比较南京中医药大学附属南京医院静脉药物配置中心工作流程优化前后的效果，验证优化后流程的优越性，以提升工作效率。方法： 药师和护士按照操作规范完成配置工作，然后药师、护士一对一分组，由药师承担配置前后的药品、溶媒、空安瓿的核对工作，比较优化前后6个月时间内的配置工作量、各环节总工作效率、差错率、医嘱不合格率、耗材成本等情况。结果： 流程优化后，工作效率由12.86（秒/袋）提高至4.89（秒/袋），差错率由0.87%降低到0.13%，医嘱不合格率由0.87%下降到0.06%，耗材成本下降了39.96%，差异均有统计学意义（P<0.05）。结论： 优化PIVAS工作流程提高了工作效率和质量，节约了成本。 |
| 英文摘要: |
| Objective: To compare effectiveness of the PIVAS workflow optimization in Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine, to verify the superiority of the optimized process, and to improve work efficiency. Methods: The preparation work was performed by pharmacists and nurses according to the operation specification, and one-for-one grouping preparation was carried out by pharmacists and nurses. Before and after the preparation, medicines, solvents and empty ampoules were checked by pharmacists. Within 6 months before and after optimization, the preparation workload, total efficiency of work and the error rate in each link, disqualification rate of medical orders and cost of consumable material were compared. Results: After workflow optimization, the work efficiency has obviously increased from 12.86 (s/bag) to 4.89 (s/bag), the error rate has decreased from 0.87% to 0.13%, the disqualification rate of medical orders has decreased from 0.87% to 0.06%, and the cost of consumable material has reduced by 39.96%. The differences were statistically significant (P<0.05). Conclusion: The PIVAS workflow optimization improved the work efficiency and quality and saved cost of consumable material. |
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