[1]赵新红,孙 超,王 琳,等.三种不同方法在复核新生儿肠外营养成品输液剂量中的比较与应用[J].肠外与肠内营养杂志,2021,(03):139-143.[doi:10.16151/j.1007-810x.2021.03.003]
 ZHAO Xin-hong,SUN Chao,WANG Lin,et al.Comparison and application of three different methods in the review of finished infusions dosage of neonatal parenteral nutrition[J].PARENTERAL & ENTERAL NUTRITION,2021,(03):139-143.[doi:10.16151/j.1007-810x.2021.03.003]
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三种不同方法在复核新生儿肠外营养成品输液剂量中的比较与应用
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《肠外与肠内营养》杂志[ISSN:1007-810X/CN:32-1477/R]

卷:
期数:
2021年03期
页码:
139-143
栏目:
论著
出版日期:
2021-05-10

文章信息/Info

Title:
Comparison and application of three different methods in the review of finished infusions dosage of neonatal parenteral nutrition
作者:
赵新红孙 超王 琳张英茹刘振华
承德医学院附属医院药学部,河北承德 067000
Author(s):
ZHAO Xin-hong SUN Chao WANG Lin ZHANG Ying-ru LIU Zhen-hua
Department of pharmacology, the Affiliated Hospital of Chengde Medical College, Chengde 067000, Hebei, China
关键词:
静脉用药调配中心 新生儿肠外营养液 剂量复核 称重法
Keywords:
PIVAS Parenteral nutrition of newborn Dose review Weighting method
分类号:
R473.6
DOI:
10.16151/j.1007-810x.2021.03.003
文献标志码:
A
摘要:
目的:介绍三种不同剂量复核方法,比较每种方法在复核新生儿肠外营养(PN)成品输液剂量中的作用和差异。 方法:抽取承德医学院附属医院静脉用药调配中心(PIVAS)2015年8月至2019年1月调配的新生儿PN 3 438组,将双人调配复核法、刻度剂量比对法、称重法三种不同方法应用于成品输液剂量复核,计算三种复核方法的内部差错率及外部差错率,使用矩阵实验室软件(Matlab)对本院PIVAS工作人员在加药混合过程中的质量误差率进行统计分析,并实现其数据结果可视化。 结果:双人调配复核法、刻度剂量比对法、称重法三种方法的内部差错率分别为0.31%、1.27%、1.59%;外部差错率分别为2.19%、0.14%、0.14%,本院PIVAS工作人员在加药混合过程中的质量误差率为(0.81% ± 0.99%,n =1 380)。 结论:三种复核方法中,双人调配复核法外部差错率最高,刻度剂量比对法存在外包装材料限制、液体量读取不便等不足之处;称重法操作简单、准确性高,在一定程度上,可以保证新生儿PN成品输液的剂量准确性,值得推广和应用。
Abstract:
Objective: To introduce three different dose review methods, and compare the effects and differences of each method in reviewing the finished infusion dose of neonatal parenteral nutrition (PN) . Methods: 3 438 groups of newborns receiving PN allocated by PIVAS from August 2015 to January 2019 were included and three different methods, namely double deployment review method, calibration dose comparison method and weighing method, were applied to the finished infusions dose review. The internal error rate and external error rate of the three review methods were calculated. The quality error rate of PIVAS staff in the process of dosing and mixing was statistically analyzed with MATLAB software, and the result of quality error rate was visualized. Results: The internal error rate of double deployment review method, calibration dose comparison method and weighing method were 0.31%, 1.27% and 1.59% respectively, and external error rate was 2.19%, 0.14% and 0.14%, respectively. The quality error rate of PIVAS staff was (0.81% ± 0.99%,n = 1 380). Conclusion: Among the three review methods, the double deployment review method has the highest external error rate, the calibration dose comparison method has some disadvantages, such as the limitation of outer packing materials, the inconvenience of reading liquid quantity, etc. The weighing method is simple and accurate, which may ensure the accurate dose of neonatal PN to a certain extent. This method is worth popularizing and applying to the clinical practice.

参考文献/References:


[1] 余 海, 刘金凤, 杨 威. PIVAS 新生儿科肠外营养医嘱分析.世界最新医学信息文摘, 2019, 19(64):114-115.
[2] 乔伟立, 刘晓英, 魏海田, 等. 医疗失效模式与效应分析在新生儿肠外营养液配置中的应用. 中南药学, 2021, 19(1):149-153.
[3] 钟丽君, 邓锐敏, 曾玉婷, 等. 运用 PDCA 循环法提高新生儿肠外营养液输液质量的效果分析. 中国处方药, 2019, 17(1):56-57.
[4] 倪倍倍, 吕彩霞, 秦 苗, 等. 1843张新生儿全肠外营养液处方分析. 医药导报, 2018, 37(9):1068-1071.
[5] International Standards Organization. Sterile hypodermic syringes for single use-pare 1: syringes for manual use. ISO7886-1: 1993. Geneva, Switzerland:ISO.
[6] Lee SN, Wong AH, Mayer A, et al. Accuracy and reproducibility of syringe Measurements. Am J Health-Syst Pharm, 1996, 53(10):1166-1169.
[7] 姚 旺, 周晓燕. 称重法在新生儿肠外营养液成品剂量复核中的应用. 护士进修杂志, 2018, 33(1):80-83.
[8] 赵新红, 康冰亚, 陈天朝. 三种不同剂型的通脉丸溶出行为比较研究. 现代中药研究与实践, 2021, 35(2):61-64.
[9] 刘 华, 胡继红, 段雅琴, 等. 吞咽功能训练联合呼吸干预对早产儿吞咽功能及早期神经发育的影响. 中华物理医学与康复杂志, 2020, 42(10):903-906.
[10] 孙 静, 秦 侃. 某院新生儿重症监护病房早产儿肠外营养处方分析. 医药导报, 2021, 40(2):268-273.
[11] 朱扣柱, 王 燕, 洪 远, 等. 临床药师参与早产儿肠外营养中钙磷补充的 药学实践. 肠外与肠内营养, 2019, 26(5):314-316.
[12] 刘 晨, 李晓玲, 王建国, 等. 静脉药物集中调配中心在胃肠外营养安全用药中的作用. 肠外与肠内营养, 2014, 21(5):298-300.
[13] 包 雪, 陈 添, 王柯静. 静脉用药调配中心新生儿肠外营养液审方规范化目录的制定及实施效果分析 . 肠外与肠内营养, 2020, 27(3):156-161.
[14] 赵瑞玲, 王 晶, 张丽锋, 等. 不同水溶性维生素对新生儿肠外营养液稳定性和临床疗效的影响. 中国医院药学杂志, 2019, 39(19):1974-1978.
[15] 刘 辽, 徐文芳. 新生儿全肠外营养液使用情况分析. 海峡药学, 2019, 31(5):253-255.
[16] 赵 芳, 张 侨, 岳建宏, 等. PDCA 循环在降低新生儿全肠外营养液调配差错发生率中的应用. 临床医学研究与实践, 2021,6(1):168-171.

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备注/Memo

备注/Memo:
基金项目 :承德市科学技术研究与发展计划项目(201706A043);河北省药学会医院药学科研项目青年课题(2020-Hbsyxhqn0029) 作者简介 :赵新红,主管药师,药学硕士,从事静脉用药集中调配工作。E-mail:zxh09043 @163.com 通讯作者 :孙 超,E-mail:sch970911@126.com
更新日期/Last Update: 1900-01-01