Page 90 - 《中国药房》2025年10期

·药学服务·

我院PIVAS患者自带药配置精细化管理体系的构建
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张 敏 1， 2＊ ，杨亚亚 ，杨春松 1， 2 # ，李海龙 （1.四川大学华西第二医院药学部/循证药学中心，成都 610041；
2.四川大学华西第二医院出生缺陷与相关妇儿疾病教育部重点实验室，成都 610041）

中图分类号 R95 文献标志码 A 文章编号 1001-0408（2025）10-1232-06
DOI 10.6039/j.issn.1001-0408.2025.10.14

摘 要 目的 规范我院静脉用药集中调配中心（PIVAS）的患者自带药配置管理，提高医疗质量，保证患者用药安全。方法 基于
循证方法学，系统检索并梳理分析国内医疗机构关于患者自带药管理的研究文献，并基于我院信息系统，提取2023年2－4月的患
者自带药使用数据；通过头脑风暴法绘制我院PIVAS患者自带药配置管理体系构建难点的鱼骨图，进而形成我院PIVAS患者自带
药配置的精细化全流程管理体系。通过配制量、差错率等指标评价该体系的实施成效。结果与结论 共计纳入15篇文献，内容涉
及患者自带药使用原因、使用现状、管理制度、管理方法、管理建议等。我院有12个临床科室使用患者自带药占比较高，其中小儿
神经科患者自带药使用量最高，占10.65%；自带药剂型中，针剂类药品占比为13.68%，其中抗肿瘤类药品均由我院PIVAS统一调
配。我院PIVAS构建的患者自带药管理体系涵盖药品接收及保存、医疗文书留档、医嘱审核、摆药、调配、复核、运输等全流程。该
体系实施后，2023年5月－2024年10月，我院PIVAS累计配制自带药654袋，月均配制36袋，所有患者自带药品实现PIVAS配置
零差错。该体系运行稳定，有效地保障了我院PIVAS患者自带药的配置质量。
关键词 自带药；静脉用药集中调配中心；循证评价；真实世界数据；精细化管理

Construction of a refined management system for patients’ self-carried medicine dispensing in PIVAS of
our hospital
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ZHANG Min ，YANG Yaya ，YANG Chunsong ，LI Hailong （1. Dept. of Pharmacy/Evidence-based
Pharmacy Center， West China Second Hospital， Sichuan University， Chengdu 610041， China；2. Key
Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education，
Chengdu 610041， China）
ABSTRACT OBJECTIVE To standardize the management of patients’ self-carried medicines dispensed by Pharmacy
Intravenous Admixture Services （PIVAS） of our hospital， improve the quality of medical care， and ensure the safety of patients’
medication. METHODS Based on evidence-based methodology， the research literature of domestic medical institutions on the
management of patients’ self-carried medicines was systematically searched and analyzed， and the data on the use of patients’ self-
carried medicines in our hospital from February to April 2023 were extracted based on our hospital’s information system. A
fishbone diagram of the difficulties in constructing patients’ self-carried medicines within PIVAS of our hospital was drawn through
brainstorming， thereby establishing a refined whole-process management system for patients’ self-carried medicines in PIVAS. The
effectiveness of the system was evaluated through the indicators， including dispensing volume， error rate， and so on. RESULTS &
CONCLUSIONS A total of 15 papers were included， covering descriptive studies on the reasons for the use of patients’ self-
carried medicines， current status of their use， management system， management methods， management suggestions. There were
12 clinical departments in our hospital with a high proportion of patients using self-carried medicines， among which the pediatric
neurology department had the most use of patients’ self-carried medicines， accounting for 10.65%. In terms of dosage form，
injectable drugs accounted for 13.68%， all of anticancer drug were uniformly dispensed by our hospital’s PIVAS. PIVAS in our
hospital had successfully constructed the management system for dispensing patients’ self-carried medicines， which included the
processes of drug reception and preservation， medical document retention， doctor’s order review， drug placement， dispensing，
review and transportation. After the implementation of the system， from May 2023 to October 2024， our hospital’s PIVAS
dispensed 654 bags of patients’ self-carried medicines in total，
with a monthly average of 36 bags. Zero error management
Δ 基金项目 四川省自然科学青年基金项目（No.2023NSFSC173
was realized for all patients’ self-carried medicines. The
5）；四川省预防医学会第二届静脉药物配制科研（孵化）项目（No.川预
学-静配-2020-007） system operates stably and effectively， thereby ensuring the
＊ 第一作者 药 师 ，硕 士 。 研 究 方 向 ：医 院 药 学 。 电 话 ：028- high-quality dispensing of patients’ self-carried medicines in
88570423。E-mail：18328078997@163.com PIVAS of our hospital.
# 通信作者 副主任药师，博士。研究方向：药物流行病学、循证药 KEYWORDS self-carried medicine； PIVAS； evidence-based
学。电话：028-88570423。E-mail：yangchunsong_123@126.com evaluation； real-world data； refined management

· 1232 · China Pharmacy 2025 Vol. 36 No. 10 中国药房 2025年第36卷第10期