Exploration of regulating infusion administration sequence by an intelligent prompt system in pharmacy intravenous admixture services
10.3760/cma.j.issn.1000-6672.2018.08.015
- VernacularTitle: 静脉用药集中调配输液顺序智能提醒调控方法探讨
- Author:
Ji QIN
1
;
Tingting DENG
;
Chen CHEN
1
;
Ting LIU
1
;
Yunjie LIU
1
;
Fu DAI
1
Author Information
1. First People′s Hospital of Hefei, Hefei 231200, China
- Publication Type:Journal Article
- Keywords:
Infusions, intravenous;
Pharmacy intravenous admixture services;
Intelligent prompt system;
Infusion administration sequence;
Labelling
- From:
Chinese Journal of Hospital Administration
2018;34(8):674-676
- CountryChina
- Language:Chinese
-
Abstract:
Eight sub-databases of pharmacological information on rational use of medicines were designed and established. These sub-databases cover dosing frequency, therapeutic drug priority to auxiliary medication, infusion shelf-life after admixture, incompatibility of two continuous infusion in the vein infusion tube, chronopharmacology, drug interaction involved in administration sequence , venous irritative drugs and preventive medicine. Once the standing order delivery to PIVAS involves any of these sub-databases, the system will prompt in turn " Auxiliary" , " Time limit" , " Taboo" , " Chronopharmacology" , " Interaction" , " Irritative" and " Preventive (therapeutic)" , starting from therapeutic drug priority to auxiliary medication. Pharmacists would make a reasonable sequence of the corresponding infusion and label the administration sequence on the infusion tag according to the prompt.Compared to the circumstance prior to this system, the wards with the infusion sequence labeling and equipped with intelligent prompt increased from 2 to 43; the percentage of such inpatients increased from 0.50% to 66.33%; the percentage of medical orders increased from 0.72% to 78.94%. The time spent by pharmacists for the same workload reduced from 73.44 h per day to 1.94 h per day. The times of flushing infusion tube reduced from 34.42 to 1.49 per ward and per day. The cost of flushing infusion tubes reduced by a big margin. PIVAS has established a method of regulating infusion administration sequence by an intelligent prompt system, based on improved safety and effectiveness of medication.
