| 摘要: |
| 目的：系统评价我国静脉用药集中调配中心（PIVAS）的建设现状，为我国PIVAS建设和发展方向提供参考。方法：计算机检索Pubmed、Embase、Cochrane图书馆、中国生物医学文献数据库（CBM）、中国期刊全文数据库（CNKI）、中国科技期刊全文数据库（VIP）、万方数据库，检索时间为建库至2019年1月，纳入评价我国PIVAS建设现状的研究，收集场地、设备、人员配备、开通病区和床位数以及取得的成效和问题等指标，对结果进行描述性分析。结果：共纳入24篇文献，其中经验分享14篇和综述10篇。我国各省市PIVAS占地面积、设备、人员配备、开通病区和床位数、日均调配输液量存在较大差异。建立PIVAS可以保证静脉用药安全，节约成本，提高护理质量，但存在没有统一的管理规范，前期投入高等问题。结论：我国医院PIVAS建设现状存在差异，普遍取得一定成效，但仍存在一些问题，建议参考国内建设规范，并结合各个医院的实际情况建设PIVAS。 |
| 关键词: 静脉用药集中调配中心 建设 成效 存在问题 循证评价 |
| DOI： |
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| 基金项目:国家卫生计生委员会药政司政府购买服务项目,编号2018-QT-002-药政(2017)3 号 |
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| Evidence-Based Evaluation of Construction Status of Pharmacy Intravenous Admixture Services in |
| Yang Chunsong, Lin Yunzhu, Zhang Lingli, Kang Bingyao |
| ((West China Second University Hospital, Sichuan University, Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education, Sichuan Chengdu 610041, china)) |
| Abstract: |
| Objective: To systematically evaluate the construction status of pharmacy intravenous admixture services (PIVAS), so as to provide reference for the construction and development direction of PIVAS in China. Methods: PubMed, EMBase, the Cochrane Library, CBM, CNKI, VIP, Wanfang database were retrieved to collect the literature of current status of PIVAS construction in China. The retrieval time was from the establishment of the database to Jan. 2019. Indicators such as site, equipment, staffing, opening of wards and beds, effectiveness and problems were collected, and the results were presented by descriptive analysis. Results: A total of twenty-four studies were included. The research types were 14 experience sharing studies (58%) and 10 reviews (42%). There were great differences in the area, equipment, staffing, opening of wards and beds, and the average daily infusion volume of PIVAS in various provinces and cities in China. The construction of PIVAS can ensure the safety of intravenous drug use, save costs and improve the quality of nursing. However, there was no unified management specification, and investment in the early stage was relatively high. Conclusion: There are differences in the construction status of PIVAS in hospitals in China, some achievements have generally been made, yet there are still some problems. It is suggested to develop PIVAS through referring to the construction standards in China and combining the actual conditions of each hospital. |
| Key words: pharmacy intravenous admixture services construction effectiveness problem evidence-based evaluation |
