| 摘要: |
| 目的:采用横断面研究调查我国137家医疗机构静脉用药集中调配中心(PIVAS)的信息化和自动化现状,分析PIVAS所在省份和医院级别对信息化和自动化的影响,为我国PIVAS信息化和自动化建设和发展方向提供参考。方法:采用调查研究法,通过网络对各医院PIVAS负责人进行问卷调查,包括自动化环节、自动化设备、审方模式、审方软件、审方人员、信息化和自动化取得的成效,并分析PIVAS自动化和信息化建设现状和所在省份、医院级别的相关性。结果:共发出问卷138份,回收有效问卷137份,有效回收率为99.3%。调查显示,大部分医院PIVAS做到了处方前置审核,主要审方模式为人工审核与审方软件相结合,主要审方人员为PIVAS药师,被PIVAS使用最多的自动化设备为自动摆药机。调查对象普遍认同自动化和信息化建设提高了工作效率、医嘱率合格率、用药安全性和有效性,降低了劳动强度。自动化和信息化建设不受省份和医院级别影响。结论:我国PIVAS信息化和自动化程度较好,且取得了一定成绩,建设情况不受省份和医院级别影响。有必要进一步完善PIVAS信息化和自动化建设标准,为PIVAS信息化和自动化建设提供参考。 |
| 关键词: 静脉用药集中调配中心 信息化 自动化 问卷调查 |
| DOI:10.13407/j.cnki.jpp.1672-108X.2021.01.011 |
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| 基金项目:基金项目:国家卫生计生委员会项目,编号2018-QT-002-药政(2017)3 号。 |
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| Investigation on Status of Informatization and Automation in Pharmacy Intravenous Admixture Services in China |
| Yang Chunsong, Yang Yaya, Zhang Lingli, Lin Yunzhu, Yu Dan |
| (West China Second Hospital, Sichuan University, Key Laboratory of Birth Defects and Related Diseases of Women and Children, Ministry of Education, Sichuan Chengdu 610041, China) |
| Abstract: |
| Objective: To investigate the current status of informatization and automation of pharmacy intravenous admixture services (PIVAS) in 137 medical institutions in China based on cross-sectional study, and analyze the impact of PIVAS in the province and hospital level on informatization and automation, so as to provide reference for the construction and development direction of informatization and automation in PIVAS in China. Methods: The method of investigation and research was adopted to conduct a questionnaire survey on the leaders of PIVAS in each hospital through the network, including the automation link, automation equipment, review mode, review software, review staff, information and automation results. The relationship between the status of informatization and automation and province and hospital level was analyzed. Results: A total of 138 questionnaires were sent out and 137 valid questionnaires were retrieved, with the effective response rate of 99.3%. The survey showed that PIVAS in most hospitals had achieved pre-prescription review, and the main prescription review mode was the combination of manual review and prescription review software. The main prescription review staff were PIVAS pharmacists, and the automation equipment most used by PIVAS was the automatic dispensing machine. Respondents generally agreed that the construction of automation and informatization could improve the work efficiency, compliance rate of medical orders, safety and effectiveness of medication, and reduce the labor intensity. The construction of automation and informatization was not affected by province and hospital level. Conclusion: PIVAS has made some achievements of informationization and automation in China. The construction situation is not affected by province and hospital level. It is necessary to further improve the construction standards of PIVAS informatization and automation to provide references for the construction of PIVAS automation and informatization. |
| Key words: pharmacy intravenous admixture services informatization automation questionnaire survey |