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为何静脉用药调配中心(PIVAS)需多轮PDCA循环改进,这是因为PIVAS存在的问题及安全隐患易导致严重事故。文献[1]报道:美国某PIVAS,1名儿童使用未加入葡萄糖的全静脉营养液(TPN)后死亡;由于配置的心脏停搏液受微生物污染导致4患者死亡。美国俄亥俄州州立大学[2]医院1969年建立世界上第一个PIVAS,迄今为止,美国100%的非盈利医院建立了PIVAS,欧洲、澳大利亚、日本大部分医院建
Why PIVAS needs multiple rounds of PDCA cycle improvement because PIVAS problems and potential safety hazards can easily lead to serious accidents. Literature [1] reported: a US PIVAS, a child without glucose after using the entire intravenous nutrient solution (TPN) died; due to the deployment of cardioplegia contaminated by microbes cause 4 patients died. The Ohio State University [2] Hospital established the world’s first PIVAS in 1969. To date, 100% of non-profit hospitals in the United States have established PIVAS, Europe, Australia and most of Japan’s hospitals.