摘要
目的 探讨静脉用药调配中心药品损耗的原因以及改进措施。方法 分类汇总2019年7月至12月常熟市第一人民医院静脉用药调配中心各个环节的药品损耗数据,对调配中心发生药品损耗的原因进行分析总结,采取相对应的整改措施。比较采取改进措施前(2019年7月至12月)与采取改进措施后(2020年1月至6月)差错事件发生情况。结果 未采取改进措施前,医院静脉用药调配中心的总调配输液数为282 689袋,其中发生失误457次,占比0.161%,平均每月失误76.17次;采取改进措施后,医院静脉用药调配中心的总调配输液数为300 685袋,其中发生失误236次,占比0.078%,平均每月失误25.33次,采取改进措施后的总失误率低于采取改进措施前,差异有统计学意义(P<0.05)。采取改进措施后,造成药品损耗的各项院外因素与各项院外因素的失误次数均少于改进措施前,改进措施后药品拆零、药品排药、对药与药品冲配以及总失误率均低于改进措施前,差异有统计学意义(P<0.05)。结论 通过多环节的干预和措施的改进,能够减少药品的损耗,提高药物服务的质量。
Objective To explore the reasons for the loss of drugs in the intravenous drug distribution center and the improvement measures. Methods The drug loss data of each link of the intravenous drug distribution center of Changshu No. 1 People’s Hospital from July to December 2019 were classified and summarized, and the reasons for drug loss in the distribution center were analyzed a nd summarized, and corresponding measures were taken. The occurrence of errors before taking improvement measures(July to December 2019) and after taking improvement measures(January to June 2020) was compared. Results Before the improvement measures were taken, the total number of infusions dispensed by the hospital’s intravenous drug distribution center was 282 689 bags, of which 457 errors occurred, accounting for 0.161%. The average monthly error was 76.17 times. After the improvement measures were taken, the total number of infusions dispensed by the hospital’s intravenous drug distribution center was 300 685 bags, of which 236 errors occurred, accounting for 0.078%. The average monthly error was 25.33 times. The total error rate after taking improvement measures was lower than that before taking improvement measures, and the difference was statistically significant(P<0.05).After the improvement measures were taken, the number of out-of-hospital factors that caused drug loss and the number of errors of various out-of-hospital factors were lower than those before measures taken, and after the improvement measures,drug dismantling, drug dispensing, drug matching and drug preparation, and the total error rate were all lower than those before the improvement measures, and the differences were statistically significant(P <0.05). Conclusion Multi-link intervention and improvement of measures can reduce the loss of drugs and improve the quality of drug services.
作者
金丹
JIN Dan(Department of Pharmacy,Changshu No.1 People's Hospital,Jiangsu Province,Changshu215500,China)
出处
《中国当代医药》
CAS
2022年第36期161-163,167,共4页
China Modern Medicine
关键词
静脉用药调配中心
药品损耗
改进措施
药品服务质量
Intravenous drug distribution center
Drug loss
Improvement measures
Drug service quality
