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目的:分析静脉用药调配中心(PIVAS)常见药品调配差错原因及改进措施。方法:收集2014年1—12月间PIVAS出现的各类药品调配差错处方,对各类差错处方产生的原因进行分析,并提出改进措施。结果:PIVAS在2014年药品调配差错率为0.046%,主要发生在摆药、贴签、加药、打包与外送等环节。结论:通过建立完善的工作制度、加强人员管理、品管圈工具的应用以及优化智能摆药系统,减少药品调配差错的发生,为患者提供合格的成品输液,保障临床静脉用药的安全有效。
OBJECTIVE: To analyze the causes and remedies of errors in the deployment of common drugs in intravenous drug deployment center (PIVAS). Methods: Collecting prescriptions of miscellaneous prescriptions of PIVAS during January to December in 2014, analyzing the causes of various misdirected prescriptions and proposing improvement measures. Results: The error rate of PIVAS was 0.046% in 2014, which mainly occurred in the fields of drug loading, labeling, dosing, packing and delivery. Conclusion: Through the establishment of a sound working system, strengthening the management of personnel, the application of QC tools and the optimization of intelligent swing medicine system, it can reduce the incidence of drug formulation errors and provide patients with qualified infusion of finished products to ensure the safety and effectiveness of clinical intravenous drugs.