我院PIVAS的自动化建设与实践

发布时间：2018-12-16 07:16

【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 a reference for the information and automation management of (PIVAS). Methods: the composition and practical application of the PIVAS automatic management system developed in our hospital were introduced, and its application effect was evaluated by comparing the rate of unqualified doctor's orders, the efficiency of dispensing drugs and the number of errors before and after the application. Results & conclusion: the PIVAS automatic management system developed by our hospital consists of automatic prescription system, intelligent dispensing system, intelligent liquid dispensing system, automatic sorting system and automatic delivery system. After the application of the system, the automatic examination of medicine orders, the intelligent placement and labeling of drugs, the responsibility tracing of the whole process of deployment, the intelligent blending of intravenous infusion, the automatic sorting and delivery of the final infusion are realized respectively. The rate of unqualified doctor's orders decreased from 2.07% before application to 1.73h, and decreased from (3.15 卤0.53) h per day to (1.55 卤0.27) h. The internal difference of daily blending decreased from (0.26 卤0.78) to (0.06 卤0.13), and the error of packing and sorting was reduced from (6.57 卤1.76) to (0.07 卤0.17). The construction of the system realizes the information and automation of the main work of PIVAS, and improves the management level of PIVAS.
【作者单位】：苏州大学附属第一医院药学部;
【分类号】：R95

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