Page 122 - 2020年2月第31卷第3期
P. 122

我院静脉用药调配中心成品输液标签的设计升级                                                       Δ


               1*
        邱 季 ,潘爱红 ,邓婷婷 ,李 睿 ,杨樟卫 ,戴 夫 (1.合肥滨湖医院药学部,合肥 231200;2.合肥滨湖医
                                                         5 #
                                         1
                                 3
                                                 4
                        2
        院护理部,合肥 231200;3.四川科伦药业股份有限公司药事服务部,成都 610071;4.上海市第四人民医院信
        息科,上海 200082;5.合肥市第一人民医院,合肥 230061)
        中图分类号 R952          文献标志码 A           文章编号 1001-0408(2020)03-0368-05
        DOI   10.6039/j.issn.1001-0408.2020.03.23

        摘   要   目的:对合肥滨湖医院静脉用药调配中心(PIVAS)成品输液标签进行设计升级,以提高静脉用药的安全性和有效性。方
        法:通过调研PIVAS药师及临床护理人员对输液标签的使用体会及相关建议,以清晰、简洁、重点突出、布局合理、信息全面等为改
        进原则,对原标签信息布局进行设计升级;并以升级前、后各30 d内标签(分别为94 701、113 759组)的扫描识别率、扫描时间、扫描速
        率,药师摆药核对正确率、摆药核对时间、摆药核对速率及针对PIVAS药师(30人)、护理人员(50人)和患者(49人)进行的标签满
        意度调查结果为指标评价升级后效果。结果:升级后的标签简化了部分内容并优化了布局结构,删除了冗余内容,重点显示了护
        理人员核对时需要关注的患者安全信息,增添了输液顺序及输液注意事项的标注,并通过将条形码换为二维码同时增设隐显功
        能,提供了更多与患者输液相关的药品及合理用药知识信息。与原标签比较,升级后新标签扫描识别率由 99.27%上升至
        99.96%,扫描时间由 3 518.75 s/d 缩短至 2 110.10 s/d,扫描速率由 0.57 组/s 提升至 0.95 组/s,摆药核对正确率由 99.73%上升至
        99.91%,摆药核对时间由5 423.55 s/d缩短至4 818.85 s/d,摆药核对速率由0.36组/s提升至0.41组/s;药师满意度由70.00%提升至
        93.33%,护理人员满意度由62.00%提升至90.00%,患者满意度由20.40%提升至89.80%。结论:成品输液标签的设计升级可提
        高相关工作人员的工作效率,提升药学服务、护理质量及满意度,促进患者静脉用药安全性和有效性的提高。
        关键词 静脉用药调配中心;成品输液标签;信息显示;设计升级;合理用药

        Design and Upgrading of Finished Infusion Label in PIVAS of Our Hospital
              1
                                                                   4
                                                  1
                           2
                                           3
        QIU Ji ,PAN Aihong ,DENG Tingting ,LI Rui ,YANG Zhangwei ,DAI Fu(1.Dept. of Pharmacy,Hefei Binhu
                                                                           5
        Hospital,Hefei 231200,China;2.Dept. of Nursing,Hefei Binhu Hospital,Hefei 231200,China;3.Dept. of
        Pharmaceutical Affairs, Sichuan Kelun Pharmaceutical Co., Ltd., Chengdu 610071, China;4.Information
        Section,Shanghai Fourth People’s Hospital,Shanghai 200082,China;5.First People’s Hospital of Hefei,Hefei
        230061,China)
        ABSTRACT    OBJECTIVE:To design and upgrade the finished infusion label in PIVAS of Hefei Binhu hospital,so as to improve
        the safety and effectiveness of intravenous medication. METHODS:By investigating the experience and suggestions about the use
        of infusion labels by pharmacists and clinical nurses in PIVAS,taking clear,concise,focused,rational layout,comprehensive
        information as improving principle,the infusion label was designed and upgraded. The effect of upgrading were evaluated by the
        recognition rate of label scanning,scanning time and rate on label(94 701,113 759 groups,respectively),and the correct rate,
        time and rate of drug delivery checking in 30 days before and after upgrading,as well as satisfaction degree,which made among
        PIVAS pharmacists (30),nurses (50) and patients (49). RESULTS:The upgraded label simplified part of the content and
        optimized the layout structure,removed redundant content,focused on the patient safety information that nurses needed to pay
        attention to when checking, and added the marking of infusion sequence and precautions. By changing the barcode into
        two-dimensional code and adding hidden display function,more information about drugs and rational drug use related to the
        infusion of patients was provided. Compared with original label,after upgrading,the recognition rate of new label scanning
        increased from 99.27% to 99.96%,the scanning time reduced from 3 518.75 s/d to 2 110.10 s/d,and the scanning rate increased
        from 0.57 group/s to 0.95 group/s;the correct rate of drug delivery checking increased from 99.73% to 99.91%,the time of drug
        delivery checking decreased from 5 423.55 s/d to 4 818.85 s/d,and the speed of drug delivery checking increased from 0.36
        group/s to 0.41 group/s. The satisfaction degree of pharmacists,nurses and patients were increased from 70.00% to 93.33%,from
                                                            62.00% to 90.00% ,from 20.40% to 89.80% ,respectively.
            Δ 基金项目:安徽省 2018 年度重点研究与开发计划项目(No.
                                                            CONCLUSIONS:The design and upgrading of infusion labels
        1804h08020276)
                                                            can improve the working efficiency of staff,and improve the
            *主任药师。研究方向:临床药学、药事管理。电话:0551-
                                                            quality of pharmaceutical care and nursing care, and
        65758256。 E-mail:pivas9258@163.com
            # 通信作者:主任医师,博士。研究方向:消化内科学。电话:                   satisfaction, promote the improvement on the safety and
        0551-65758255。E-mail:zwj3118@163.com                effectiveness of intravenous medication for patients.


        ·368  ·  China Pharmacy 2020 Vol. 31 No. 3                                   中国药房    2020年第31卷第3期
   117   118   119   120   121   122   123   124   125   126   127