儿科药学杂志2023，Vol.29Issue(12)：17-20,4.DOI:10.13407/j.cnki.jpp.1672-108X.2023.012.004
儿童(妇幼)专科医院静脉用药调配中心运行情况调研
Investigation on Operation Status of Pharmacy Intravenous Admixture Services in Children's(Maternal and Child)Hospitals
和凡 1郑伟 1何润敏 1司徒小红 1曾凤连 1陈怡禄1
作者信息
- 1. 广州市妇女儿童医疗中心,广州 510623
- 折叠
摘要
Abstract
Objective:To investigate the operation status of pharmacy intravenous admixture service(PIVAS)in children's(maternal and child)hospitals in China,so as to provide reference for further standardizing the PIVAS work model.Methods:Questionnaire survey was performed with 16 PIVAS managers from children's(maternal and child)hospitals in China,and the survey results were statistically analyzed.Results:The PIVAS facilities in the 16 hospitals had areas ranging from 80 to 800 m2,with an average daily compounding volume per person ranging from 17 to 200 sets.The personnel composition of 12 PIVAS followed the pharmacy-nursing combination model,while 4 followed the single pharmacist model.Intravenous medical orders were reviewed in all 16 PIVAS,4 of which were reviewed by clinical pharmacists.PIVAS operations covered a wide range of departments and types of drugs,with prescription types including intravenous infusion,intravenous push,and patient-controlled analgesia pumps.Only 4 PIVAS were equipped with automated drug dispensing robots,which were relatively low level of automation.In 16 PIVAS,there were some common issues of drug dosage adjustment,drug combination and drug surplus.The compounding fees for PIVAS varied significantly across regions,with standard fees per set ranging from 15.00 to 90.00 yuan for parenteral nutrition solution,8.00 to 40.00 yuan for cytotoxic drugs,0 to 10.00 yuan for antibiotics,and 0 to 9.00 yuan for other common drugs.Conclusion:PIVAS work model in children's(maternal and child)hospitals has its own characteristics,which also faces challenges such as low numbers of PIVAS,shortage of professional personnel,heavy workloads,complexity of operations,low automation levels and low compounding fees.Hospitals with existing or planned PIVAS facilities should pay special attention to addressing these issues.关键词
静脉用药调配中心/儿童(妇幼)专科医院/运行/调研Key words
pharmacy intravenous admixture service/children's(maternal and child)hospitals/operation/investigation分类
医药卫生引用本文复制引用
和凡,郑伟,何润敏,司徒小红,曾凤连,陈怡禄..儿童(妇幼)专科医院静脉用药调配中心运行情况调研[J].儿科药学杂志,2023,29(12):17-20,4.
