我院PIVAS中4类特殊药品的管理与风险控制

发布时间：2018-08-14 19:05

【摘要】：目的:加强PIVAS中4类特殊药品的管理与风险控制,促进安全用药。方法:对我院PIVAS中的4类特殊药品(高警示药品、危害药品、重要药品/贵重药品、皮试药品)等采取分类精准管理;采用追踪方法学对管理效果进行评价。结果:通过采取制定目录、设置专用标识、固定位置贮存、加强医嘱审核、建立应急预案、逐日盘点、批号管理等措施,对4类药品实现了分类管理;规范了高警示药品的管理和使用过程,确保了危害药品的操作安全和职业防护,使重要药品/贵重药品账物相符率达到100%,基本保证了皮试药品配制与使用批号的一致性。与管理前(2015年)比较,管理后(2016年)18个评价指标中达到良好级(B级)以上的项目比例由22.23%上升到94.44%。结论:我院PIVAS采用的分类精准管理较好地控制了4类特殊药品的管理和使用风险,确保了PIVAS的安全运行。
[Abstract]:Objective: to strengthen the management and risk control of 4 kinds of special drugs in PIVAS. Methods: four kinds of special drugs (high warning drug, harmful drug, important drug / precious drug, skin test drug) in PIVAS of our hospital were managed by classification and precision, and the effect of management was evaluated by tracing methodology. Results: the classified management of 4 kinds of drugs was realized by making catalogue, setting up special marking, storing in fixed place, strengthening examination of doctor's orders, establishing emergency plan, daily inventory, batch number management and so on. The management and use process of high warning drugs are standardized, the operation safety and occupational protection of harmful drugs are ensured, the conformity rate of important drugs / precious drugs accounts reaches 100, and the consistency between the preparation of skin trial drugs and the batch number is basically guaranteed. Compared with pre-management (2015), the proportion of projects with good grade (B level) in 18 evaluation indicators after management (2016) rose from 22.23% to 94.44%. Conclusion: the classified and accurate management adopted by PIVAS in our hospital can control the management and use risk of 4 kinds of special drugs and ensure the safe operation of PIVAS.
【作者单位】：解放军第451医院药剂科;解放军第323医院药剂科;
【分类号】：R95

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