首页|我国静脉用药调配中心调配种类及工作量现状调研分析

我国静脉用药调配中心调配种类及工作量现状调研分析

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目的 评估我国静脉用药调配中心(PIVAS)的调配种类及工作量现状。方法 通过问卷调查方式,调研全国范围内不同级别医院PIVAS工作情况,调研内容包括调配液体种类,危害药品输液、肠外营养液、普通药物及抗菌药物输液、静脉推注药物、皮试液、注射剂的每日调配量及每日打包量。结果 纳入全国30个省(区、市)的750个PIVAS,涉及三级医院621家、二级医院90家;调配液体种类以静脉输液为主,其次为肠外营养液,再次为化疗泵(含化疗输液),分别占99。73%、79。47%、43。33%。三级医院PIVAS的危害药品输液、肠外营养液、普通药物输液、抗菌药物输液、静脉推注药物、皮试液、注射剂的每日调配量分别为23。00(9。00,56。50)组、31。00(13。97,74。00)袋、813。00(375。00,2 061。75)袋、426。00(210。00,987。00)袋、30。00(6。00,155。00)支、30。00(7。13,136。84)支、3 200。00(1 684。50,5 554。50),每日打包量为 218。50(52。26,559。00)袋;二级医院PIVAS 的上述指标分别为 4。00(2。00,12。00)组、8。90(3。00,23。00)袋、270。50(108。00,2 061。75)袋、157。00(71。00,987。00)袋、5。85(3。75,141。00)支、0 支、1 349。00(548。10,2 408。00)支、107。50(33。25,207。00)袋。结论 PIVAS的调配种类范围已明显扩大;三级医院在各类静脉输液和药物的调配量及打包量上均明显高于二级医院,其在处理复杂药物和高风险治疗药物方面具有明显优势。
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.

PIVASblending typesblending volumepacking volume

吕红梅、赵婧、府裕琦、张建中

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国家卫生健康委医院管理研究所药事管理研究部,北京 100044

上海市老年医学中心药学部,上海 201104

复旦大学附属中山医院药学部,上海 200032

静脉用药调配中心 调配种类 调配量 打包量

国家卫生健康委医院管理研究所横向项目

202207200959000030162

2024

中国药房
中国医院协会,中国药房杂志社

中国药房

CSTPCD北大核心
影响因子:0.956
ISSN:1001-0408
年,卷(期):2024.35(18)