Effect of medical intelligent dispensing machine in dispensing of parenteral nutrition drugs in PIVAS

WANG Dong; ZHANG Yan; JI Chuang

doi:10.6039/j.issn.1001-0408.2024.16.19

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Effect of medical intelligent dispensing machine in dispensing of parenteral nutrition drugs in PIVAS

更新时间：2024-08-23

- Effect of medical intelligent dispensing machine in dispensing of parenteral nutrition drugs in PIVAS
- ZHONGGUO YAOFANG Vol. 35, Issue 16, Pages: 2044-2047(2024)
- 作者机构：
  
  1.山东第一医科大学附属省立医院药学部，济南　250021
  2.山东省食品药品审评查验中心检查四部，济南　250013
  3.山东省食品药品审评查验中心检查二部，济南　250013
- 作者简介：
- 基金信息：
- DOI：10.6039/j.issn.1001-0408.2024.16.19
  CLC： R95;R942
- Published：30 August 2024，
  
  Received：22 January 2024，
  
  Revised：24 July 2024，
- 稿件说明：
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王栋,张艳,姬闯.医用智能配药机在PIVAS肠外营养药物调配中的应用效果[J].中国药房,2024,35(16):2044-2047.

WANG Dong,ZHANG Yan,JI Chuang.Effect of medical intelligent dispensing machine in dispensing of parenteral nutrition drugs in PIVAS[J].ZHONGGUO YAOFANG,2024,35(16):2044-2047.
王栋,张艳,姬闯.医用智能配药机在PIVAS肠外营养药物调配中的应用效果[J].中国药房,2024,35(16):2044-2047. DOI： 10.6039/j.issn.1001-0408.2024.16.19.

WANG Dong,ZHANG Yan,JI Chuang.Effect of medical intelligent dispensing machine in dispensing of parenteral nutrition drugs in PIVAS[J].ZHONGGUO YAOFANG,2024,35(16):2044-2047. DOI： 10.6039/j.issn.1001-0408.2024.16.19.

摘要

目的

探讨医用智能配药机在静脉药物集中调配中心（PIVAS）肠外营养药物集中调配中的应用效果。

方法

选取山东第一医科大学附属省立医院14名PIVAS工作人员，于2023年12月1－31日采用轮岗的形式参与指定处方肠外营养药物的人工调配组或医用智能配药机组的调配工作，两组每日各调配指定处方10份。比较两组在调配指定处方肠外营养药物中的调配效率、质量及引入医用智能配药机对洁净级别产生的影响。

结果

医用智能配药机组共调配肠外营养液310袋，人工调配组共调配306袋；相较于人工调配组，医用智能配药机组的每袋平均调配时间、药液残留量、调配穿刺次数、成品输液进药口漏液率和西林瓶药品胶塞脱屑率均显著少于或低于人工调配组（

＜0.05）；医用智能配药机组引入前后，加药混合调配操作间和两组水平层流洁净台的空气沉降菌检测合格率均为100%。

结论

医用智能配药机应用于PIVAS肠外营养药物的调配，可提高药物调配效率，提升成品输液质量，且不影响操作间和水平层流洁净台的洁净级别。

Abstract

OBJECTIVE

To investigate the effect of the medical intelligent dispensing machine in the dispensing of pharmacy intravenous admixture services（PIVAS） parenteral nutrition drugs.

METHODS

From December 1st to 31st， 2023， 14 PIVAS staff members in Shandong Provincial Hospital Affiliated to Shandong First Medical University were selected to participate in manual dispensing and dispensing with the medical intelligent dispensing machine in the form of rotation. Ten prescribed formulas are prepared daily by each of the two groups. The dispensing efficiency and quality of specified parenteral nutrition drugs were compared between 2 groups， and the effects of the introduction of medical intelligent dispensing machine on the cleanliness class were also compared.

RESULTS

The medical intelligent dispensing machine group prepared a total of 310 bags of parenteral nutrition solution， while the manual dispensing group prepared a total of 306 bags； the time for drug dispensing per bag， the residual amount of drug liquid， the number of dispensing punctures， the leakage rate of finished infusion inlet and desquamation rate of vial glue plug in the medical intelligent dispensing machine group were less or lower than manual dispensing group （

＜0.05）. Before and after the introduction of the medical intelligent dispensing machine， the qualified rate of sedimentation bacteria detection in mixing operation room and horizontal laminar flow clean workbench in both groups was 100%.

CONCLUSIONS

The application of medical intelligent dispensing machine in the dispensing of PIVAS parenteral nutrition drugs can improve the efficiency of drug dispensing and improve the quality of finished infusion without affecting the cleanliness level of operation room and horizontal laminar flow clean workbench.

关键词

医用智能配药机静脉药物集中调配中心肠外营养药物空气沉降菌调配效率

Keywords

pharmacy intravenous admixture servicesparenteral nutrition drugssedimentation bacteriadispensing efficiency

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