我国静脉用药集中调配模式的创建与现状

目的:为促进我国静脉用药集中调配工作模式的规范化建设和静脉用药调配中心(PIVAS)健康发展、提升临床输液的合理使用水平提供参考。方法:回顾我国PIVAS的创建与发展过程,分析我国静脉用药集中调配模式的必然性、PIVAS建设现状和需解决的问题。结果与结论:由药师负责的静脉用药集中调配模式因操作流程科学、先进、顺畅,且便于规范化管理,减少了输液调配人员的职业暴露等优势成为我国医院静脉用药调配工作的必然发展方向。我国PIVAS总体运行良好、作用显著,大幅提高了成品输液质量、促进了合理用药,也保护了护士的身体健康和病房(区)环境。这不仅有利于护理专业建设与发展,也有利于提升药学部门自身管理水平的提高。但PIVAS药师的服务价值如何予以体现尚需要合理解决。

Construction and Situation of Centralized Intravenous Drug Dispensing Mode in China

OBJECTIVE:To provide reference for promoting the standardized construction of centralized intravenous drug dispensing mode and the healthy development of PIVAS and improving the rational infusion in China.METHODS:The establishment and development process of PIVAS in China were reviewed,the necessity,current situation and problems to be solved of centralized intravenous drug dispensing mode were analyzed.RESULTS&CONCLUSIONS:Due to scientific,advanced,smooth,convenient operation procedure and standardized management,and reduced occupation exposure,centralized intravenous drug dispensing mode,of which the pharmacists were in charge,had become the inevitable development direction of intravenous drug dispensing in Chinese hospitals.The overall PIVAS construction in China had worked well and played a significant role,not only significantly improved the quality of finished infusion,promoted rational drug use,protected the health of nurses and ward(area)environment,but also contributed to the construction and development of the nursing profession,and also contributed to the improvement of the pharmacy department’s own management level.However,the value of PIVAS pharmacist service still needs to be understood.