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目的 PIVAS(Pharmacy intravenous admixture services,PIVAS)应用清晰药名安瓿及彩色安瓿,可减少药师排药配置核对差错率,保障患者静脉输液用药安全。方法以PIVAS用量较大且外观较相似的8种注射液安瓿作为研究对象,对照组选择54 480组输液(使用一般安瓿),观察组选择48 897组输液(使用清晰药名安瓿或彩色安瓿),分析药师注射剂排药配置核对差错发生率。结果药师在对照组、观察组排药配置核对环节合计差错率分别为0.110%、0.002%。结论应用清晰药名安瓿及彩色安瓿可显著减少药师排药配置核对差错率,提高PIVAS工作质量,杜绝安全隐患,保障患者输液用药安全有效。
Objective PIVAS (Pharmacy intravenous admixture services, PIVAS) The use of clear drug name ampoules and color ampoules, pharmacists can reduce the allocation of drugs to check the error rate, to ensure the safety of patients with intravenous fluids. Methods Eight kinds of injection ampoules with larger dosage and similar appearance of PIVAS were used as study objects. In the control group, 54 480 infusion solutions (using general ampoules) and 48 897 infusion solutions (using clear drug name ampoules or color ampoules) , Analysis of pharmacist injection drug delivery configuration check error rate. Results In the control group and the observation group, the total error rate of drug allocation checkup was 0.110% and 0.002% respectively. Conclusions The application of ampoules and color ampoules with clear drug names can significantly reduce the error rate of pharmacist dispensing arrangements, improve the quality of PIVAS work, eliminate potential safety problems and ensure safe and effective infusion.