我院PIVAS的自动化建设与实践
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篇名: 我院PIVAS的自动化建设与实践
TITLE:
摘要: 目的:为静脉用药集中调配中心(PIVAS)的信息化、自动化管理建设提供参考。方法:介绍我院开发的PIVAS自动化管理系统的组成和实践应用情况,并对其应用前、后的不合格医嘱率、摆药效率、差错件数等进行比较以评价其应用效果。结果与结论:通过对相应的工作流程进行智能优化,我院开发的PIVAS自动化管理系统由自动审方系统、智能摆药系统、智能配液系统、自动分拣系统以及自动运送系统等组成。该系统应用后分别实现了用药医嘱的自动审核、智能化摆药与贴签、调配全过程的责任追溯、静脉输液的智能化混合调配、成品输液的自动分拣以及自动运送;不合格医嘱率由应用前的2.07%下降为1.73%,摆药贴签用时由每日(3.15±0.53) h缩短至(1.55±0.27) h,每日调配内差由(0.26±0.78)件降低至(0.06±0.13)件,每日成品输液打包分拣差错由(6.57±1.76)件降低至(0.07±0.17)件。该系统的建设实现了PIVAS主要工作的信息化和自动化,提高了PIVAS的管理水平。
ABSTRACT: OBJECTIVE: To provide reference for the informational and automatic management in Pharmacy intravenous admixture service (PIVAS). METHODS: The composition and practical application of PIVAS automatic management system developed in our hospital were introduced, and ratio of irrational medical order, drug dispensing efficiency and the numbers of error before and after application were compared to evaluate its effect. RESULTS & CONCLUSIONS: The work process was intelligently optimized, PIVAS automatic management system developed in our hospital composed by automatic prescription audit system, intelligent drug dispensing system, intelligent liquid preparation system, automated sorting system and automatic transportation system, which respectively achieved the automated audit of prescription, intelligent drug dispensing and labeling, responsibility traced in drug dispensing, intelligent mixed deployment of intravenous infusion, automated sorting and transportation of finished products of transfusion liquid. The ratio of irrational medical order decreased from 2.07% to 1.73%, time of drug dispensing and labeling shortened from (3.15±0.53) h to (1.55±0.27) h, numbers of error within daily dispensing decreased from 0.26±0.78 to 0.06±0.13, numbers of error within daily sorting of finished products of transfusion liquid decreased from 6.57±1.76 to 0.07±0.17. The construction of the system achieves the information and automation of major work in PIVAS and improves the management level of PIVAS.
期刊: 2017年第28卷第7期
作者: 沈国荣,尤晓明,李轶,王玮,包健安,缪丽燕
AUTHORS: SHEN Guorong,YOU Xiaoming,LI Yi,WANG Wei,BAO Jian’an,MIAO Liyan
关键字: 静脉用药集中调配中心;自动化管理系统;建设;实践
KEYWORDS: Pharmacy intravenous admixture service; Automation management system; Construction; Practice
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