| 摘要: |
| 目的：探索HMISS 7级医学信息系统在完善PIVAS闭环管理模式信息化建设中的应用。方法：观察HIMSS 7级创建的信息系统在PIVAS的应用情况，通过比较信息系统升级前后PIVAS管理各环节的相关指标，评价其改造效果。结果：PIVAS信息系统改造后处方合格率由98.14%提高到98.96%；前置处方审核时间由每日（4 821.56±31.42）s缩短为（2 464.22±48.26）s；内部差错发生率由0.314‰降至0.175‰；1批和4批成品液体平均打包时间分别由（1 920.54±24.16）s和（1 026.13±40.31）s缩短到（1 141.46±38.70）s和（546.22±35.28）s；病区护士满意度由93.61%升高到97.56%。结论：HIMSS 7级评审标准下的PIVAS信息化系统建设可以有效实现工作流程的闭环管理，提升工作效率，减少用药差错，提高病区满意度。 |
| 关键词: PIVAS HIMSS7级 闭环管理 信息化建设 |
| DOI：doi:10.13407/ j.cnki.jpp.1672.108X.2022.04.009 |
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| 基金项目: |
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| Application of Pharmacy Intravenous Admixture Services Management based on HIMSS 7 in a Children's Hospital |
| Huang Wei，Duan Yanyan |
| (Children’s Hospital Affiliated to Zhengzhou University, Henan Children’s Hospital, Zhengzhou Children’s Hospital, Zhengzhou 450053, China) |
| Abstract: |
| Objective: Based on the medical information system HMISS 7 level review in our hospital, explore its application in improving the informationization of pharmacy intravenous admixture services (PIVAS) closed-loop management model. Methods: The application of the information system created by HIMSS 7 level in PIVAS was observed, and the transformation effect was evaluated by comparing the results of relevant indicators of PIVAS management in all aspects before and after the information system upgrade. Results: After the modification of PIVAS information system, the qualified rate of prescriptions increased from 98.14% to 98.96%; the time of pre-prescription review was reduced from 4,821.56±31.42 s to 2,464.22±48.26 s; the internal error rate decreased from 0.314‰ to 0.175‰; the average packing time of 1 batch and 4 batches of finished liquid decreased from (1,920.54±24.16) s and (1,026.13±40.31) s to (1,141.46±38.70) s and (546.22±35.28) s; the ward nurse satisfaction increased from 93.61% to 97.56%. Conclusion: The construction of PIVAS information system under HIMSS 7 evaluation standard can effectively implement closed-loop management of work processes, improve work efficiency,reduce medication errorsand medical satisfaction of ward. |
| Key words: pharmacy intravenous admixture services HIMSS 7 closed-loop management information construction |
