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马柯1,2,张虹1▲,何广宏1,陈洁1,有曼1,万丹丹1,曹鹏飞1.静脉用药调配中心结余药品管理的文献分析[J].中国医药科学,2021,(4):142-145        基金项目:[基金项目] 河南省中医药拔尖人才培养项目(豫中医科教〔2018〕35 号)
静脉用药调配中心结余药品管理的文献分析
Literature analysis of the drug balance management in pharmacy intravenous admixture service
  
DOI:
中文关键词:  [关键词] PIVAS;结余药品;拼药;文献分析
英文关键词:[Key words] PIVAS; Drug balance; Drug pooling; Literature analysis
作者单位
马柯1,2,张虹1▲,何广宏1,陈洁1,有曼1,万丹丹1,曹鹏飞1 1.河南省洛阳正骨医院( 河南省骨科医院),河南洛阳 471002;2.湖南中医药大学,湖南长沙 410208 
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中文摘要:
      [摘要] 目的 通过分析静脉用药调配中心结余药品管理现状,为静脉用药调配中心(PIVAS)的药品管理工作提供参考。 方法 以“静脉用药调配中心”“静脉药物配置中心”“PIVAS”“结余药品”“剩余药品”“拼药”等为检索词,组合录入中国知网,收集自建库起至2020年3月29日该数据库收录的关于我国PIVAS结余药品的情况、相关处理方法等,并对结果进行分析。 结果 共检索87篇相关文献,经过筛选,有效文献37篇,其中37篇都提到通过合理的药品共享可以有效减少药品浪费,但仅有7 篇提到采取的具体管理办法。目前关于我国PIVAS结余药品管理这一方面没有好的对应政策,缺乏有效的管理措施,大多数医院只能按报废处理,造成药品的浪费及经济的损失。 结论 通过对结余药品现状的分析,相关部门应采取相应的管理政策或PIVAS制定相关的规章制度来有效地解决结余药品问题,一方面减少药品浪费,另一方面降低配置成本,为患者减轻治疗负担。
英文摘要:
      [Abstract] Objective To analyze the current status of drug balance management in a pharmacy intravenous admixture service (PIVAS) and to provide a reference for drug management in PIVAS. Methods The following terms including"pharmacy intravenous admixture service""intravenous drug dispensing center""PIVAS""drug balance""remaining drugs", and"drug pooling"were combined and input into the China National Knowledge Infrastructure (CNKI) to collect information about the drug balance in PIVAS and its related methods in China from the time the database established to March 29, 2020. The results were then analyzed. Results A total of 87 relevant literature articles were searched, and after screening, 37 articles were found to be valid, among which 37 articles mentioned that drug waste could be effectively reduced through reasonable drug sharing, but only 7 articles mentioned the specific management methods adopted. At present, there are no policies and effective management measures for drug balance management in PIVAS in China, and most of the hospitals can only dispose of them as obsolete, resulting in drug waste and economic loss. Conclusion Through the analysis of the current situation of surplus drugs, the relevant departments should adopt corresponding management or PIVAS should make relevant rules and regulations to effectively solve the problem of surplus drugs, so as to reduce the waste of drugs and reduce the cost of allocation, thus relieving the burden of treatment for patients.
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