Research and analysis of the blending types and workload of PIVAS in China
OBJECTIVE To assess the blending types and workload of pharmacy intravenous admixture services(PIVAS)in China.METHODS By questionnaire survey,the working status of PIVAS in different levels of hospitals nationwide was investigated,involving the types of blending infusion,daily blending volume of hazardous drugs infusion,parenteral nutrition solution,general and antibacterial drug infusion,intravenous bolus drugs,skin test solution and intravenous agents,as well as the daily packing volume.RESULTS A sample of 750 PIVAS in 30 provinces(autonomous regions,municipalities)across China were surveyed by questionnaire,involving 621 tertiary hospitals and 90 secondary hospitals.The main types of liquid preparation were intravenous infusion,followed by parenteral nutrition solution,and chemotherapy pump(including chemotherapy infusion),accounting for 99.73%,79.47%and 43.33%,respectively.The daily blending volume of hazardous drugs infusion,parenteral nutrition solution,general and antibacterial drug infusion,intravenous bolus drugs,skin test solution and intravenous agents in PIVAS of tertiary hospitals were 23.00(9.00,56.50)sets,31.00(13.97,74.00)bags,813.00(375.00,2 061.75)bags,426.00(210.00,987.00)bags,30.00(6.00,155.00)ampoules,30.00(7.13,136.84)ampoules,3 200.00(1 684.50,5 554.50)ampoules respectively,while the daily packing volume was 218.50(52.26,559.00)bags;above indexes of PIVAS in secondary hospital were 4.00(2.00,12.00)sets,8.90(3.00,23.00)bags,270.50(108.00,2 061.75)bags,157.00(71.00,987.00)bags,5.85(3.75,141.00)ampoules,0 ampoule,1 349.00(548.10,2 408.00)ampoules,107.50(33.25,207.00)bags.CONCLUSIONS The scope of blending types of PIVAS has been significantly expanded,and tertiary hospitals are significantly higher than secondary hospitals in the blending and packing volumes of all types of intravenous fluids and drugs dispensed,showing obvious advantages in dealing with complex medications and high-risk treatments.