静脉用药调配中心优化院内感染控制管理对患者静脉输液质量及降低医院感染率的影响

目的:探究静脉用药调配中心(PIVAS)优化院内感染控制管理对患者静脉输液质量及降低医院感染率的影响。方法:抽取2015年1月—2016年12月间PIVAS 1586例患者资料(优化管理前);另抽取2017年1月—2019年1月实施优化管理后的1865例患者资料(优化管理后);优化管理前后PIVAS工作人员均为25名;比较优化管理前后静脉输液质量及医院感染率的差异。结果:与优化管理前相比,优化管理后化疗药物的包装、输液配制质量及操作台环境的满意度均较高(P<0.05),院内感染发生率低于优化管理前(P<0.05)。结论:PIVAS实施优化院内感染控制管理,有效提高了静脉输液质量,遏制了院内感染的发生,保证了患者用药的安全性。

Influence of Optimizing Nosocomial Infection Control Management in PIVAS on Quality of Infusions and Reducing of Nosocomial Infection Rate

Objective:To explore the influence of optimizing nosocomial infection control management in pharmacy intravenous admixture services(PIVAS)on the quality of infusion and the reduction of nosocomial infection rate.Methods:Data of 1586 patients with PIVAS from January 2015 to December 2016(before optimized management)were collected.In addition,data of 1865 patients(after optimized management)from January 2017 to January 2019 were extracted.PIVAS had 25 staff before and after optimized management.The difference of intravenous infusion quality and hospital infection rate before and after optimized management were compared.Results:Compared with that before the optimized management,the satisfaction of the packaging of chemotherapy drugs,infusion preparation quality and operating platform environment after the optimized management was higher(P<0.05),and the incidence of nosocomial infection was lower than that before the optimized management(P<0.05).Conclusion:PIVAS optimized the nosocomial infection control management,the quality of intravenous infusion was effectively improved,containing the occurrence of nosocomial infection,and ensuring the safety of patient medication.The occurrence of nosocomial infection was curbed and the safety of medication was ensured.