我院静脉药物调配中心成品输液临床退回原因分析及干预对策

发布时间：2018-06-27 15:32

本文选题：静脉药物调配中心 + 成品输液临床退回　；参考：《中国药房》2017年34期

【摘要】：目的:为减少成品输液临床退回提供参考。方法:对我院静脉药物调配中心(PIVAS)成品输液的临床退回干预措施进行介绍,比较干预前(2013-2014年)、干预后(2015-2016年)成品输液退回情况,并对干预效果进行评价。结果:我院PIVAS通过合理选用注射器,加强配送前成品输液可见性微粒的检查;优化药物的配制顺序,合理安排药物输注顺序;加强药物输注前各环节工作区域的清理,正确使用消毒剂;严格执行静脉输液相关操作,发挥药师作用;培养良好的工作习惯,加强团队协作等措施进行干预。干预后成品输液退回数量相比干预前减少41.2%,报损金额减少45.7%,其中可见性微粒、成品输液存放时间过长氧化变色、成品输液漏液、药品连续输注配伍反应、外差错误、打包至病区的药物配制方法不当、输注前消毒剂使用不当等原因导致的退回相比干预前分别减少25.3%、46.9%、39.4%、77.8%、73.9%、75.0%、100%。结论:对成品输液退回进行干预可减少退回数量,减少药品浪费。
[Abstract]:Objective: to provide reference for reducing the clinical return of finished infusion. Methods: the clinical retrogression intervention measures of intravenous drug dispensing center (PIVAS) were introduced and compared before (2013-2014) and after intervention (2015-2016), and the effect of intervention was evaluated. Results: PIVAS through rational selection of syringe, strengthen the inspection of the visible particles of the finished product before delivery, optimize the preparation order of the drugs, arrange the order of the infusion reasonably, strengthen the cleaning of the working areas of each link before the drug infusion. Correct use of disinfectants; strict implementation of intravenous infusion related operations to give play to the role of pharmacists; cultivate good working habits, strengthen team cooperation and other measures to intervene. After intervention, the amount of finished product transfusion returned was reduced by 41.2%, and the amount of reported loss was reduced by 45.7%. Among them, visible particles, excessive storage time of finished product, oxidizing discoloration of finished product, leakage of finished product infusion, continuous infusion reaction of drug, heterodyne error, Improper preparation methods of drugs packed to the ward, improper use of disinfectants before infusion, and so on, resulted in a decrease of 25.3R, 46.9and 46.9%, respectively, and 77.8% of 77.8and 75.05.00.100, respectively, compared with those before intervention. Conclusion: intervention on the return of finished product infusion can reduce the quantity of return and reduce the waste of drugs.
【作者单位】：南京市胸科医院药学部;
【分类号】：R95

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