Table 2 evaluation matrix

Hardware management

11

Rationality of working area

Average daily deployment is less than 1000 bags, the working area shall not be less than 300 m². The Average is 1001 ~ 2000 bags, working area should be 300 ~ 500m². The number of dispensing infusions per day is 2001 ~ 3000 bags, working area should be 500 ~ 650m². The Average is more than 3000 bags, the working area will be increased by 50m² for every 500 bags added.

Score: 5 points.

Scoring criteria: when meeting scoring requirements, 5 points will be given.

B01, D05 + D15

(D05 + D15: average daily deployment)

Auxiliary functional area

PIVAS has a Secondary drug warehouse, material storage area, drug outsourcing area, transfer box/transfer vehicle storage area, and meeting and teaching lounge.

Score: 1 point.

Scoring criteria: when meeting the scoring requirements, 1 point will be given.

B09

Rationality of workbench quantity for service bed

One double operator console should be equipped for every 100 beds at least.

Score: 5 points.

Scoring criteria: when meeting the scoring requirements, 5 points will be given.

B05 + B08 + B12 > B02 > B10,

(B05 + B08 + B12: double operator console)

Personnel management

14

Staff training

Personnel of PIVAS is relatively fixed, pass training and examination of professional knowledge and technical operation specifications, and receive regular continuing medical education.

Score: 5 points.

Scoring criteria: when number of training sessions per person is greater than 1, 5 points will be given. When the number is between 1 and 0.2, 2 points will be given. When the number is less than 0.2, 0 points will be given.

(C02 + C07)/(C03 + C08)

(C02 + C07: training times, C03 + C08: number of trainers)

Personnel types

Pharmacists.

Score: 5 points.

Scoring criteria: when all staff are pharmacists, 5 points will be given. When proportion of pharmacists is between 80% and 50%, 4 points will be given. When proportion of nurser is more than 50%, 2 points will be given. All staff are nurses, 0 score will be given.

C06, C10

Director

The person in charge of PIVAS shall be qualified for professional and technical posts above the intermediate level.

Score: 4 points.

Scoring criteria: when title and degree of director are above of supervising pharmacist and bachelor’s degree, 4 points will be given. When title and educational level are supervising pharmacist and bachelor’s degree below, 2 points will be given.

C09, C05

Work efficiency management

49

Type of infusion

PIVAS should provide intravenous drug dispensing services, including parenteral nutrition, anticancer drugs, antibiotics drugs, and general drugs

Score: 10 points.

Scoring criteria: when 4 types of drugs are dispensed, 4 points will be given. When parenteral nutrition or anticancer drugs are dispensed, 3 points will be given. When antibiotics drugs or general drugs are dispensed, 2 points will be given.

D02, D03, D11, D12

Average daily deployment

According to an average number of prepared infusions daily of PIVAS in Yunnan Province in the past few years.

Score: 5 points.

Scoring criteria: when average daily deployment more than the average, 5 points will be get. Average daily deployment is between two-thirds and one of average,4 points will be given. Average daily deployment is between two-thirds and one-thirds of average,3 points will be given. Average daily deployment is less than one-thirds of average, 2 points will be given.

D05 + D15

(D05 + D15: average daily deployment)

Daily bed infusion quantity

Based on the average number of daily infusions per sickbed of PIVAS in Yunnan Province in the past few years.

Score: 3 points.

Scoring criteria: daily bed infusion quantity is less than average,3 points will be given. The quantity is more than average, 1 point will be given.

D10/B10

(D10/B10: daily bed infusion quantity)

Usage of syringe

According to the average number of dispensing infusion groups for each syringe of PIVAS in Yunnan Province in the past few years.

Score: 5 points.

Scoring criteria: the average number of dispensing infusion groups for each syringe is less than average,5 points will be given. The average number is more than average, 4 points will be given.

D01/D09

(D01/D09: the average number of dispensing infusion groups for each syringe)

Daily infusion allocation quantity per person

80–100 bags.

Score: 5 points.

Scoring criteria: daily infusion allocation quantity per person is less than 100,5 points will be given.

D13

Temporary order deployment rate

The number of temporary medical orders allocated is proportional to the PIVAS service capacity.

5 points.

Scoring criteria: temporary order deployment rate is higher than 5%, 5 points will be given. The rate is between 5% and 3%, 3 points will be given. The rate is lower than 3%, no point.

D15/D05

(D15/D05: temporary order deployment rate)

Daily number of prescriptions reviewed per person

To ensure the quality and efficiency of the audition, reviewed prescriptions per person per day are less than 500 medical orders in PIVAS.

Score: 6 points.

Scoring criteria: daily number of prescriptions reviewed per person is less than 500, 6 points will be given. The number is between 800 and 500, 3 points will be given. The number is greater than 800,0 points will be given.

D04

Unreasonable prescription and disposition

Based on the average rate of unreasonable prescription and disposition of PIVAS in Yunnan Province in the past few years.

Score: 5 points.

Scoring criteria: the rate of unreasonable prescription is lower than the average and disposition rate is higher than the average, 5 points will be given. The rate and disposition rate are more than the average, 3 points will be given. The rate is lower than the average and disposition rate is higher than average, 1 point will be given.

D17/D06,D16

(D17/D06: disposition rate of unreasonable prescription)

Error control rate

The error rate of dispensed infusion of PIVAS in Yunnan Province in the past few years.

Score: 5 points.

Scoring criteria: error control rate is less than the average, 5 points will be given. Error control rate exceeds 30% of the average, 2 points will be given.

D08 + D18 + D19/D01

(D08 + D18 + D19:error qualities of infusion preparation)

Infection control management

13

Comprehensive cleaning frequency

We shall clean and disinfect the workbench and floor at least every day. Fully clean PIVAS at least once a week.

Score: 5 points.

Scoring criteria: comprehensive cleaning frequency is at least once a week, 5 points will be given. The frequency is once between a week and two weeks, 3 points will be given. The frequency is once a month, 1 point will be given.

E01

Air filter cleaning and maintenance

Clean and maintain air filters at least annually.

Score: 5 points.

Scoring criteria: completing cleaning and maintenance of all air filters within one year, 5 points will be given. Completing the cleaning and maintenance of one to two types of air filters within one year, 3 points will be given. Completing the cleaning and maintenance of no air filters within one year,0 points will be given.

E04, E05, E06

Disinfection method

At least two disinfectants are selected for disinfection in PIVAS.

Score: 3 points.

Scoring criteria: two or more disinfection methods are used in PIVAS, 3 points will be given. Only one disinfection method is used in PIVAS,0 points will be given.

E11

Information management

13

Degree of informatics

The more intelligent systems and instruments, the higher the degree of informatization.

Score: 8 points.

Scoring criteria: when PIVAS has configuration of information systems, 3 points will be given. When PIVAS has clinical records management information system, 2 points will be given. PIVAS has two types of automatic equipment, 2 points will be given.

F01, F02, F03

Tracing control

Determine based on whether PIVAS has corresponding intelligent instruments, such as drug dispensing scanner, vertical flow clean bench, etc.

Score: 5 points.

Scoring criteria: tracing control is higher 2, 5 points will be given. Tracing control is between 1 and 2, 3 points will be given. Tracing control is between 1 and 0.5, 2 points will be given. Tracing control is between 0.5 and 0.1, 1 point will be given.

F02/B05 + B08 + B12

(B05 + B08 + B12:double operator console)

Total scores

100