深圳市三级医院静脉用药调配中心的现状与服务效能:基于13家医院的横断面调研OACSTPCD

Objective:To investigate the current situation of pharmacy intravenous admixture services(PIVAS)in tertiary hospital in Shenzhen,so as to provide reference for the construction and development of PIVAS.Methods:A questionnaire was designed to perform a multi-center cross-sectional survey of PIVAS in tertiary hospitals in Shenzhen,Guangdong Province,including data such as development time of PIVAS,number of PIVAS,number of beds,area,equipment,staffing patterns,cost and benefits.Differences in construction of PIVAS in different medical institutions were analyzed.Results:Totally 13 questionnaires were collected,with a response rate of 100％.The development time of PIVAS ranged from 1 to 10 years(with the median of 5 years).The floor space of PIVAS ranged from 135 to 760 m2,with 53.85％(7/13)≤500 m2,and 46.15％(6/13)＞500 m2.The average daily volume of dispensed infusion was 53.85％(7/13)for ≤500 bags,15.38％(2/13)for 501 to 1,000 bags,and 30.77％(4/13)for 1,001 to 2,000 bags.As for the staffing patterns of PIVAS,the use of pharmacy management accounted for 84.62％(11/13),and pharmacy nursing management accounted for 15.38％(2/13).Totally 84.62％(11/13)institutions considered that the current allocation fees for generic drugs and antibiotics charged by PIVAS were irrational,and 100％considered that the current allocation fees for antineoplastic drugs and parenteral nutrition charged by PIVAS were irrational.Conclusion:In recent years,PIVAS in tertiary hospitals in Shenzhen,Guangdong Province,has developed well,and newly opened PIVAS increase many inputs of informatization and intelligent equipment,and the cost increases as well.Due to the shortage of PIVAS staff,most of the healthcare organizations only carry out partial liquid dispensing and are unable to carry out full medical dispensing for the whole hospital.Currently,the overall allocation fee standard is low,which affects the development of PIVAS.