静脉调配中心信息化管理及工作流程优化的效果分析

Effect Analysis of Informatization Management and Workflow Optimization of Pharmacy Intravenous Admixture Service

关键词:  静脉调配中心  信息化管理  掌上电脑  流程优化

Key words:  pharmacy intravenous admixture service (PIVAS)  informatization management  personal digital assistant (PDA)  workflow optimization

摘要:

目的 探讨静脉调配中心信息化管理及工作流程优化后的成效。方法 分析原流程的不足，对排药、配置流程、首批输液限速问题、停退药模式及差错管理等4个方面进行改进，并对比改进前后的工作效率、差错率和破损率。结果 信息化管理及流程优化后，排药时间缩短（t=-21.19，P<0.01），排药破损率由0.225%降至0.125%，差错率由0.166%降至0.063%。首批输液送出时间提前约30 min，退药效率显著提高（t=-138.27，P<0.01），输液全流程记录得到完善，而且在工作量增加的情况下，节省人力资源9人。结论 信息化管理及工作流程优化可有效提高工作效率，保障患者的用药安全。

Abstract:

OBJECTIVE To explore the effect of informatization management and workflow optimization of pharmacy intravenous admixture service(PIVAS). METHODS The deficiencies of the original process were analyzed, and the drug discharge, configuration process, speed limit of the first infusion, drug withdrawal mode and error management were improved. Compared the work efficiency, error rate and damage rate before and after improvement. RESULTS After informatization management and process optimization, the medicine discharging time was shortened(t=-21.19, P<0.01). The damage rate of discharge decreased from 0.225% to 0.125%, and the error rate decreased from 0.166% to 0.063%. The delivery time of the first infusion was about 30 min in advance, the drug withdrawal efficiency was significantly improved(t=-138.27, P<0.01), and the whole process of infusion recording was improved. In addition, 9 human resources were saved in the case of increased workload. CONCLUSION Information-based management and workflow optimization can effectively improve work efficiency and ensure drug safety of patients.