OBJECTIVE:To promote standardized management of PIVAS.METHODS:The experience of the management of PIVAS in our hospital was summarized to explore the suitable management model of PIVAS.RESULTS & CONCLUSIONS:The efficiency and quality of PIVAS management is improved and the management of PIVAS is standardized by establishing operational procedure,management criteria,management group and evaluation standard.

OBJECTIVE:To improve the management of dispensing room in PIVAS in order to provide reference for standardized disposition of drugs.METHODS:The condition of the management of dispensing room of PIVAS in our hospital was introduced in respect of staff management,material management,disposition management,environment and equipment management.RESULTS & CONCLUSIONS:The quality and efficiency of disposition of intravenous drugs are improved through improving management of above four aspects to guarantee the medication safety of patients.

OBJECTIVE:To strengthen the clinical rational use of drug and to ensure safety of drug use.METHODS:The irrational medication orders of PIVAS in our hospital from Mar.to Aug.in 2009 were analyzed statistically.RESULTS:Of total 859 339 medication orders,771 irrational medication orders accounted for 0.94‰,including excessive dosage,irrational compatibility and improper solvent selection,etc.CONCLUSIONS:Pharmacists can correct irrational medication order to improve rational use of drug by PIVAS.Moreover,PIVAS plays an important role in training clinical pharmacists.

OBJECTIVE:To introduce dispensing room of PIVAS in order to promote the realization of public to PIVAS.METHODS:Dispensing room of PIVAS was introduced in respects of the establishment of dispensing room,staff and health control.RESULTS & CONCLUSIONS:The clean working environment,well-trained staff and strict health control ensure the quality of the dispensation of intravenous drugs.

OBJECTIVE:To introduce the operation instructions and routine maintenance method of horizontal laminar flow cabinet(HLFC) in PIVAS to provide reference for standardized operation of HLFC.METHODS:The standardized utilization and maintenance of HLFC in respects of compositions,operation principle,operation instructions,etc.RESULTS & CONCLUSIONS:The standardized operation and correct maintenance can ensure the dispensation quality of intravenous drugs and extend service life of HLFC.

OBJECTIVE:To provide reference for standardized dispensation of chemotherapy drugs in PIVAS.METHODS:Cautions for the dispensation of chemotherapy drugs and process steps of emergency were introduced as well as the disposal of waste and liquid after dispensing.RESULTS & CONCLUSIONS:Centralized and standardized dispensation of chemotherapy drugs in PIVAS improves the quality of the dispensation of chemotherapy drugs.And it ensures the safety of drug use and strengthens the occupational protection of staff.

OBJECTIVE:To cut down the mistakes in PIVAS of our hospital in order to guarantee safe drug use of patients.METHODS:Various errors occurred in PIVAS of our hospital in 2008 were collected and analyzed.Relevant countermeasures were carried out then errors occurred in 2009 were compared statistically.RESULTS & CONCLUSIONS:Errors occurred in PIVAS of our hospital mainly were printing errors of label,shelf errors of drugs,dispensing errors and describing errors.The error rate was decreased from 0.016 1% in 2008 to 0.006 4% in 2009 and the safety of drug use was improved.

OBJECTIVE:To explore the problems and solutions of the communication between PIVAS and clinical departments in order to provide reference for effective communication.METHODS:The importance and means of effective communication were explored in respect of mutual goal,problems of communication and countermeasures.RESULTS & CONCLUSIONS:Only the effective communication between PIVAS and clinical department are strengthened continuously,can satisfactory service be supplied for patients.The medical conception of "patient-centered" can be implemented.

OBJECTIVE:To explore the importance of self-supervision spirit in the PIVAS.METHODS:According to the characteristics of PIVAS in our hospital,the importance of self-supervision spirit in PIVAS was introduced and the methods to cultivate the spirit were evaluated.RESULTS & CONCLUSIONS:Self-supervision spirit of staff can reduce mistakes and improve the working of PIVAS to promote the safety of clinical drug use.

[Objective]To present the key technique of combining procedures of Chiari's ilium osteotomy,partial synovectomy of the hip joint,femur neck drilling decompression,iliopsoas muscle lengthening and detachment of adductor muscles of the femur for treating Legg-Perthes disease and the long-term results of combination treatment. [Method]A retrospective study of treating children with Legg-Perthes disease was carefully carried out.All patients enrolled were followed up more than 3 years after operation.The results of serial radiographs and physical examination of all patients were reviewed.[Result]The long-term results of 82 children with Legg-Perthes were evaluated according to 5-item and ten score system including clinical presentation,limb shortage,acetabula socket coverage of the femur capital epiphysis,shape of the capital ipiphysis and the intertrochanteric distance.Each item was classified into 3 degrees(0,1,or 2) respectively.Score sum ≥9 was rated as being excellent.The score sum 7 to 8 was evaluated as being good and that reaching 5 to 6 as being fair.The sum