Construction of a refined management system for patients’self-carried medicine dispensing in PIVAS of our hospital
- VernacularTitle:我院PIVAS患者自带药配置精细化管理体系的构建
- Author:
Min ZHANG
1
;
Yaya YANG
1
;
Chunsong YANG
1
;
Hailong LI
2
Author Information
1. Dept. of Pharmacy/Evidence-based Pharmacy Center，West China Second Hospital，Sichuan University，Chengdu 610041，China;Key Laboratory of Obstetric & Gynecologic and Pediatric Diseases and Birth Defects of Ministry of Education，Chengdu 610041，China
2. Dept. of Pharmacy/Evidence-based Pharmacy Center，West China Second Hospital，Sichuan University，Chengdu 610041，China
- Publication Type:Journal Article
- Keywords:
self-carried medicine;
PIVAS;
evidence-based
- From:
China Pharmacy
2025;36(10):1232-1237
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To standardize the management of patients’ self-carried medicines dispensed by Pharmacy Intravenous Admixture Services （PIVAS） of our hospital， improve the quality of medical care， and ensure the safety of patients’ medication. METHODS Based on evidence-based methodology， the research literature of domestic medical institutions on the management of patients’ self-carried medicines was systematically searched and analyzed， and the data on the use of patients’ self- carried medicines in our hospital from February to April 2023 were extracted based on our hospital’s information system. A fishbone diagram of the difficulties in constructing patients’ self-carried medicines within PIVAS of our hospital was drawn through brainstorming， thereby establishing a refined whole-process management system for patients’ self-carried medicines in PIVAS. The effectiveness of the system was evaluated through the indicators， including dispensing volume， error rate， and so on. RESULTS & CONCLUSIONS A total of 15 papers were included， covering descriptive studies on the reasons for the use of patients’ self- carried medicines， current status of their use， management system， management methods， management suggestions. There were 12 clinical departments in our hospital with a high proportion of patients using self-carried medicines， among which the pediatric neurology department had the most use of patients’ self-carried medicines， accounting for 10.65%. In terms of dosage form， injectable drugs accounted for 13.68%， all of anticancer drug were uniformly dispensed by our hospital’s PIVAS. PIVAS in our hospital had successfully constructed the management system for dispensing patients’ self-carried medicines， which included the processes of drug reception and preservation， medical document retention， doctor’s order review， drug placement， dispensing， review and transportation. After the implementation of the system， from May 2023 to October 2024， our hospital’s PIVAS dispensed 654 bags of patients’ self-carried medicines in total，with a monthly average of 36 bags. Zero error management 5）；was realized for all patients’ self-carried medicines. The system operates stably and effectively， thereby ensuring the high-quality dispensing of patients’ self-carried medicines in PIVAS of our hospital.
