细节思维管理法对静脉用药调配中心输液微粒的控制效果分析

发布时间：2018-01-29 09:41

  本文关键词： 细节思维管理 静脉用药调配中心 输液微粒 控制效果　出处：《中国药房》2017年05期 　论文类型：期刊论文

【摘要】：目的:评价细节思维管理法对静脉用药调配中心(PIVAS)输液微粒的控制效果。方法:选取我院2014年1-12月(实施前组)和2015年1-12月(实施后组)由PIVAS配制的临床常用输液的相关资料各1 200份、住院患者各150例,比较强化工作制度、提高人员素质、全程落实实施等细节思维管理实施前后PIVAS不同等级洁净区悬浮粒子及沉降菌数量、配制输液中微粒数量和微粒所致不良反应发生情况。结果:细节思维管理法实施后,PIVAS不同等级洁净区悬浮粒子和沉降菌数量均较实施前显著降低,差异均有统计学意义(P0.05);电解质类、中药注射剂类、消化系统用药类配制输液中≥10μm及≥25μm的微粒数,抗菌药物类配制输液中≥10μm的微粒数和维生素类配制输液中≥25μm的微粒数均较实施前显著减少,配制输液中橡胶及玻璃污染微粒的数量亦显著减少,差异均有统计学意义(P0.05);患者血管阻塞、水肿、静脉炎和热原反应等不良反应发生率均较实施前显著降低,差异均有统计学意义(P0.05)。结论:细节思维管理法的实施可提高PIVAS不同等级洁净区的洁净度,减少各类配制输液中的微粒数量,从一定程度上提高了配制输液的质量,保障患者的用药安全。
[Abstract]:Objective: to evaluate the control effect of detail thinking management on infusion particles in intravenous drug dispensing center PIVAS.Methods: select our hospital from January to December, 2014 (before implementation). There were 1 200 clinical infusion materials prepared by PIVAS from January to December of 2015 (after implementation). There were 150 inpatients in each group. Before and after the implementation of the detailed thinking management, such as strengthening the working system, improving the quality of the personnel and carrying out the whole process, the number of suspended particulates and sedimentation bacteria in different grades of PIVAS clean areas were compared. Results: after the implementation of the detailed thinking management method, the number of suspended particles and sedimentation bacteria in different grade clean areas of PIVAS were significantly lower than those before implementation. The difference was statistically significant (P 0.05). Electrolytes, Chinese medicine injections and digestive system drugs were used to prepare the number of particles 鈮，

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