全自动针剂摆药系统在PIVAS抗肿瘤药物摆药中的应用(1)
摘 要 目的：提升静脉用药调配中心(PIVAS)抗肿瘤药物摆药工作质量，减少摆药差错，减少摆药人员受到的抗肿瘤药物的职业暴露伤害。方法：介绍全自动针剂摆药系统的组成及功能，并将其用于PIVAS抗肿瘤药物的摆药工作中，比较该系统使用前后1个月的各项工作指标。结果：该系统包括用药医嘱信息处理软件、设备控制软件和摆药机硬件，具有自动盘点药品、自动进筐、自动摆药、自动打印瓶签等功能。启用全自动针剂摆药系统后，摆药流程中的输液标签打印、分筐和摆药操作由人工换为自动，节约了人力资源，每张标签平均摆药时间由原来的(33.00±3.31) s缩短为(15.55±1.41) s，摆药差错及破损数量降为0。结论：全自动针剂摆药系统的应用，实现了PIVAS抗肿瘤药物摆药的自动化，减少了摆药差错，减少了工作人员接触抗肿瘤药物的机会，减少了其带来的职业暴露伤害。
关键词 静脉用药调配中心；全自动针剂摆药系统；抗肿瘤药物；自动化
Application of Automatic Injection Dispensing System in Antitumor Drug Dispensing in PIVAS
SHEN Guorong1，WANG Yong1，LU Hua2，LI Jiakuan1，XU Fengyi1，HONG Xiao1，SHI Xin1，BAO Jian’an1， MIAO Liyan1(1.Dept. of Pharmacy， the First Affiliated Hospital of Soochow University， Jiangsu Suzhou 215006， China；2.Soochow INT-G Armamentarium Co.， Ltd.， Jiangsu Suzhou 215000， China)
ABSTRACT OBJECTIVE： To improve the quality of antitumor drug dispensing in pharmacy intravenous admixture services (PIVAS)， reduce dispensing error and occupational exposure to dispensers by antitumor drugs. METHODS： The composition and functions of automatic injection dispensing system were introduced， and the system was applied in antitumor drug dispensing in PIVAS. Various work indexes were compared 1 month before and after the application of the system. RESULTS： The system included information processing software， equipment control software and drug dispensing machine hardware， and had functions such as automatic counting of medicines， automatic entry into basket， automatic drug dispensing and automatic printing of labels. After applying automatic injection dispensing system， the operation of infusion label printing， basket dividing and dispensing in dispensing process was changed from manual to automatic. It could save human resources， as for each label， the average time of drug dispensing decreased from (33.00±3.31) s to (15.55±1.41) s while no mistakes and damaged label was found. CONCLUSIONS： The application of automatic injection dispensing system achieves automatic operation of antitumor drug dispensing in PIVAS， reduce dispensing error reduces staff’s exposure to antitumor drugs and occupational exposure.
KEYWORDS Pharmacy intravenous admixture services； Automatic injection dispensing system； Antitumor drug； Automatic
靜脉用药调配中心(PIVAS)的建立，在提高医院静脉输液调配质量、保障患者安全合理用药和加强医护人员职业防护等方面发挥了重要作用，逐步实现了医院药学服务由单一的药品调剂供应型到全面的药学服务型的转变[1-2]。抗肿瘤药物在抑制恶性肿瘤生长的同时，对正常组织亦有抑制作用，主要通过空气吸入、皮肤接触、手口接触以及意外刺伤等途径进入工作人员体内，长期接触此类药物容易造成月经异常、不良生育结局、脱发等[3]。由于PIVAS工作流程复杂，从用药医嘱审核、批次排定、摆药贴签、加药混合调配、成品输液核对到包装运送，每道工序的失误都会影响输液调配的准确性及工作人员的安全性[4]。摆药的准确性是保证静脉输液调配质量的前提。摆药环节的差错主要发生在打印输液标签、贴标签、标签遗失、摆药错误等方面，任何环节的错误都会对后续的调配工作留下安全隐患[5]。为了提高摆药工作质量，降低摆药差错发生率，减少摆药人员受到的抗肿瘤药物的职业暴露伤害，我院药学部与苏州英特吉医疗设备有限公司合作，于2017年10月从日本引进全自动针剂摆药机，并在现有的PIVAS条码管理信息系统[6]框架下，设计并开发了全自动针剂摆药机软件操作系统，将审核合格的抗肿瘤药物静脉用药医嘱信息导入全自动针剂摆药系统中，实现了发放药筐、摆药、打印瓶签、药品盘点等自动化功能。目前该系统已在PIVAS顺利运行，现就该系统的开发与应用情况介绍如下。, 百拇医药(沈国荣 王永 鲁华 李家宽 徐烽益 洪晓 石新 包健安 缪丽燕)
关键词 静脉用药调配中心；全自动针剂摆药系统；抗肿瘤药物；自动化
Application of Automatic Injection Dispensing System in Antitumor Drug Dispensing in PIVAS
SHEN Guorong1，WANG Yong1，LU Hua2，LI Jiakuan1，XU Fengyi1，HONG Xiao1，SHI Xin1，BAO Jian’an1， MIAO Liyan1(1.Dept. of Pharmacy， the First Affiliated Hospital of Soochow University， Jiangsu Suzhou 215006， China；2.Soochow INT-G Armamentarium Co.， Ltd.， Jiangsu Suzhou 215000， China)
ABSTRACT OBJECTIVE： To improve the quality of antitumor drug dispensing in pharmacy intravenous admixture services (PIVAS)， reduce dispensing error and occupational exposure to dispensers by antitumor drugs. METHODS： The composition and functions of automatic injection dispensing system were introduced， and the system was applied in antitumor drug dispensing in PIVAS. Various work indexes were compared 1 month before and after the application of the system. RESULTS： The system included information processing software， equipment control software and drug dispensing machine hardware， and had functions such as automatic counting of medicines， automatic entry into basket， automatic drug dispensing and automatic printing of labels. After applying automatic injection dispensing system， the operation of infusion label printing， basket dividing and dispensing in dispensing process was changed from manual to automatic. It could save human resources， as for each label， the average time of drug dispensing decreased from (33.00±3.31) s to (15.55±1.41) s while no mistakes and damaged label was found. CONCLUSIONS： The application of automatic injection dispensing system achieves automatic operation of antitumor drug dispensing in PIVAS， reduce dispensing error reduces staff’s exposure to antitumor drugs and occupational exposure.
KEYWORDS Pharmacy intravenous admixture services； Automatic injection dispensing system； Antitumor drug； Automatic
靜脉用药调配中心(PIVAS)的建立，在提高医院静脉输液调配质量、保障患者安全合理用药和加强医护人员职业防护等方面发挥了重要作用，逐步实现了医院药学服务由单一的药品调剂供应型到全面的药学服务型的转变[1-2]。抗肿瘤药物在抑制恶性肿瘤生长的同时，对正常组织亦有抑制作用，主要通过空气吸入、皮肤接触、手口接触以及意外刺伤等途径进入工作人员体内，长期接触此类药物容易造成月经异常、不良生育结局、脱发等[3]。由于PIVAS工作流程复杂，从用药医嘱审核、批次排定、摆药贴签、加药混合调配、成品输液核对到包装运送，每道工序的失误都会影响输液调配的准确性及工作人员的安全性[4]。摆药的准确性是保证静脉输液调配质量的前提。摆药环节的差错主要发生在打印输液标签、贴标签、标签遗失、摆药错误等方面，任何环节的错误都会对后续的调配工作留下安全隐患[5]。为了提高摆药工作质量，降低摆药差错发生率，减少摆药人员受到的抗肿瘤药物的职业暴露伤害，我院药学部与苏州英特吉医疗设备有限公司合作，于2017年10月从日本引进全自动针剂摆药机，并在现有的PIVAS条码管理信息系统[6]框架下，设计并开发了全自动针剂摆药机软件操作系统，将审核合格的抗肿瘤药物静脉用药医嘱信息导入全自动针剂摆药系统中，实现了发放药筐、摆药、打印瓶签、药品盘点等自动化功能。目前该系统已在PIVAS顺利运行，现就该系统的开发与应用情况介绍如下。, 百拇医药(沈国荣 王永 鲁华 李家宽 徐烽益 洪晓 石新 包健安 缪丽燕)