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OBJECTIVE:To review the practicality and effectiveness ofReady-to-useextended mobile Baxter intravenous ad-mixture service(BIVAS)in the application of intravenous medication centralized deployment services. METHODS:Combined with the requirements of Intravenous Admixture Centralized Deployment and Quality Management Practices,and the present establish-ment and management characteristics in pharmacy intravenous admixture services (PIVAS) in our hospital,the development and management methods of BIVAS each link were introduced and summarized from pre-building to post-trial operation. RESULTS &CONCLUSIONS:Specific measures and methods for developing BIVAS in our hospital were introduced from aspects of assess-ment,site selection,building,research,staffing and operation,etc. It had proved that BIVAS can achieve a daily compoundingload of about 600 bags in 8 wards of eastern branch of our hospital. Since BIVAS holds advantages in sterile dispensing equipment and technology that is comparable to PIVAS,and lower space requirements,shorter building periods,more flexible combination, less occupation of funds and other health resources as well as more convenient post-maintenance,it can take the place of PIVAS to effectively complete intravenous drug deployment services under general workload with certain practicality when a hospital couldn't build PIVAS limited by building funds,venues,time and other factors.
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OBJECTIVE:To shorten the time of admixture of temporary medical order in PIVAS,and to guarantee the timely treatment of patients. METHODS:Through the definition,measurement,analysis,improvement and control ie. five steps of six sigma method,the consumed time of each link of temporary medical order admixture in PIVAS was analyzed in our hospital during Mar. 9th-22nd in 2015 (before improvement);key points were found out,and relevant measures were formulated and improved;the consumed time of each link of temporary medical order admixture in PIVAS was collected again during Jul. 27th-Aug. 9th in 2015 in order to evaluate improvement effects. RESULTS:It was quality key point that total length of temporary medical order ad-mixture which included injection sequence,label checking,preparation,package rechecking,drug distribution and so on,was con-trolled within 120 min;through formulating and implementing various measures as improving information system,adjusting prepa-ration sequence and shunting staff posts flexibly,the total time of first 3 batches of temporary order admixture were 120,98 and 77 min after improvement,shortening by about 30,50 and 55 min respectively,compared with before improvement (P<0.05). CONCLUSIONS:The six sigma method has shortened the time of temporary order medical admixture in our hospital. The formulat-ed measures are effective and feasible.
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Objective To study the influence of pharmacy intravenous admixture servers(PIVAS)on human resource prioritized allocation.Methods We compared the time consumption and efficiency of drug dispensing as well as the human resource allocation before and after the establishment of PIVAS.The influence of PIVAS on the human resource allocation of nursing and pharmacy staff and work efficiency were analyzed.Results Nursing human resource were economized and we realized human resource prioritized allocation after the establishment of PIVAS.Conclusions Establishment of PIVAS facilitated the human resource prioritized allocation of nursing and pharmacy staff.It can promote the development of nursing cause and possesses wide application value.