静脉用药调配质量控制指标体系的构建

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中图分类号R95 文献标志码A 文章编号 1001-0408（2026）05-0559-06

DOI10.6039/j.issn.1001-0408.2026.05.02

Construction of a quality control index system for intravenous medication admixture

WANG Gancheng1，2，DU Yawei¹，CHENG Yinchu¹， ZHAO Rongsheng1，²（1. Dept.of Pharmacy，Peking University Third Hospital，Beijing ，China；2.Dept. of Pharmaceutical Administration and Clinical Pharmacy，School of Pharmaceutical Sciences，Peking University，Beijing 1O0191，China）

ABSTRACTOBJECTIVEToconstructascientificand systematicquality control index system for intravenous medication admixture，soastoensurethesafetyofdruguseandimprove thequalityof medical service.METHODSBasedon literature analysisandcros-sectionalsurveyaninitialindicatorframeworkwasformulatedOpiionswerethengatheredthroughtworonds ofDelphiexpertconsultations，andtheexpertauthorityoeficientandKendal'scoeffcientofconcordancewrecalculatedto evaluatetheconsistency.Ultimately，theanalytichierarchyprocesswasemployedtodeterminetheweightsofeachindicatorand testforconsistencyinordertoestablishascientificandsystematicqualitycontrol indicatorsystemforintravenous medication admixture.RESULTS The study conducted two rounds of expert consultation with an average positive coefficient of 95.92% and an averageauthoritycoeffcientofO983.InthesecondroundoftheDelhiconsultation，theKendall'scoeffcientsofconcrdacefor thefirst-，second-，andthird-levelindicatorswereO.306，.440，andO94，respectively，allsignificantlyhgherthantoenthe firstroud（0.211，0.274，0.379）.Thefialqualitycontrolsystemforintravenousmedicationadmixtureconsistedof6first-level indicators（personnel，medicinsandconsumables，aciliesandequipment，processmanagement，environmentalhygiene，and outcomes），17second-levelindicators（.g，educationandtraining，staffngstructure，workload，medicationmanagement， consumables management，andequipment maintenance），and44third-level indicators（e.g.，averagedailyworkload perperson， proportionof pharmacy professonals，competencyasssment passrate，work systemasessmentpassrate，contiuingeducation frequencyand passrate，and medication inventoryaccuracy）.CONCLUSIONS Thequalitycontrol systemfor intravenous medicationadmixturedevelopedinthisstudydemonstratesstrongauthorityandscientificrigor，providingatheoreticalbasisandpractical tool for the standardized management of intravenous medicationadmixture qualityin hospitals.

KEYWORDS intravenousmedication admixture； qualitycontrol；Delphi method；analytic hierarchy process

静脉用药调配中心（pharmacyintravenousadmixtureservices，PIVAS）作为医院药学服务体系的重要组成部分，其运行效能直接关系到临床药物治疗的安全性和有效性]。（剩余8579字）