摘要
目的:提升静脉用药集中调配中心(PIVAS)质量管理水平,减少调剂差错,促进患者用药安全。方法:运用品管圈方法对我院PIVAS进行质量管理,以"降低冲配药品调剂内差率"为主题,分析调剂差错发生原因,确定改善重点;制订改进方案,通过PDCA(Plan,Do,Check,Action)循环管理确定有效对策;比较活动前(2016年2月)及活动后(2016年8月)的有形成果(调剂差错率)及无形成果,评价活动效果。结果:制订并实施了包括统一排班、引进PIVAS MATE流程管理软件、人员全岗培训、加强退药管理及目视管理等措施。取得的有形成果为调剂差错率由活动前的1.81‰下降为0.53‰、目标达成率达108.47%、目标进步率为70.72%;无形成果包括优化了药品调剂的工作流程,使退药制度、人员培训制度标准化,增进了圈员的自信心、责任心、合作意识、凝聚力等;另获得一项避光储药盒的实用新型专利。结论:运用品管圈方法可有效提升PIVAS工作流程中的管理质量,促进患者静脉用药安全。
OBJECTIVE:To improve the PIVAS quality management,reduce dispensing error and promote the safety of drug use.METHODS:The quality control circle(QCC)was used for quality management in PIVAS of our hospital.The reasons for dispensing errors were analyzed to determine the key improvement points using“the reduction of dispensing error of admixture drugs”as theme.Improvement plan was formulated,and effective countermeasures were determined by PDCA(Plan,Do,Check,Action)cycle management.The tangible results(the rate of dispensing errors)and intangible results were compared before(Feb.2016)and after QCC(Aug.2016).RESULTS:Some effective measures were formulated and implemented,including unified arrangement,introducing PIVAS MATE process management software,personnel post training,refining drug withdrawal management,visual management,etc.The tangible results included the rate of dispensing error decreased from 1.81‰to 0.53‰;the rate of goal achievement reached 108.47%;the rate of target progress was 70.72%.The intangible results included optimizing drug dispensing process,standardizing drug withdrawal systent and personal training system.Those achievement improved confidence,responsibility,sense of cooperation and cohesiveness of QCC members.Additional result was obtained,i.e.utility model patent for avoiding light storage box.CONCLUSIONS:QCC can effectively improve the management quality of PIVAS workflow and the safety of intravenous medication.
作者
穆殿平
徐彦贵
解晓帅
潘筱琳
王茹
贺雪梅
MU Dianping;XU Yangui;XIE Xiaoshuai;PAN Xiaolin;WANG Ru;HE Xuemei(Dept.of Pharmacy,Tianjin First Center Hospital,Tianjin 300192,China)
出处
《中国药房》
CAS
北大核心
2018年第5期595-598,共4页
China Pharmacy
