持续质量改进联合针对性管理在麻醉、第一类精药品管理中的应用
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- 英文论文题名：Continuous quality improvement and pointed management apply to management of narcotic drugs and psychotropic drugs of category Ⅰ
- 论文作者：张乃菊 ; 陈天平 ; 石庆平 ; 陈永侠 ; 曾伟 ; 张浩 ; 程鹏 ; 谢冬梅
- 英文论文作者：ZHANG Nai-ju ; CHEN Tian-ping ; SHI Qing-ping ; CHEN Yong-xia ; ZENG Wei ; ZHANG Hao ; CHEN Peng ; XIE Dongmei ; Department of Pharmacy.The First Affiliated Hospital of Bengbu Medical University ; Department of Cardiovasology.The First Affiliated Hospital of Bengbu Medical University ; Department of Nursing.The First Affiliated Hospital of Bengbu Medical University ; Department of Medical.The First Affiliated Hospital of Bengbu Medical University
- 年：2016
- 作者机构：蚌埠医学院第一附属医院药剂科;蚌埠医学院第一附属医院心血管科;蚌埠医学院第一附属医院护理部;蚌埠医学院第一附属医院医务处;
- 论文关键词：麻醉药品 ; 第一类精神药品 ; 质量持续改进 ; 针对性管理 ; 药事管理 ; 质控检查
- 英文论文关键词：narcotic drugs ; psychotropic drugs of category Ⅰ ; continuous quality improvement ; pointed management ; pharmacy administration ; quality control inspection
- 会议召开时间：2016-09-27
- 会议录名称：中国药学会第十三届青年药学科研成果交流会论文集
- 语种：中文
- 分类号：R95
- 学会代码：YYWS
- 会议名称：中国药学会第十三届青年药学科研成果交流会
- 会议地点：中国江西南昌
- 主办单位：中国药学会
- 学会名称：中国药学会
- 页数：5
- 文件大小：893k
- 原文格式：O
- 会议级别：全国
摘要
目的:探索质量持续改进和针对性管理方法在提高医院麻醉药品和一类精神药品管理中的效果。方法:通过成立医院麻精药品管理组织,检查我院麻精药品管理中存在的问题,针对问题分别制订相应措施,积极整改,整改落实后再一次进行有针对性的复查和个别一对一的督导,周而复始,使整个管理质量持续上升。结果:本研究共检查4个药房,1个药库,4个手术室,8个临床科室。整改前检查出问题有88件如没有建立基数表和配备保险柜、专用账册、监控和报警系统等,医务人员对麻精药品管理知识掌握甚少致使很多管理不到位等。整改后硬件方面如基数表、保险柜、专用账册、监控和报警系统等配备完善;软件方面,三级管理、基数管理、五专管理和批号管理等逐步规范、符合要求。麻精药品管理存在的问题逐渐下降到4件。结论:在麻精药品管理中运用质量持续改进和针对性管理方法,提高了麻精药品管理质量,保障了麻精药品用药安全。
OBJECTIVE To explore continuous quality improvement and pointed management in improving hospital narcotic drugs and psychotropic drugs of category I management effect.METHODS We establish hospital narcotic and psychotropic drugs management team,we check out problem in narcotics and psychotropic substances management of our hospital,draw up corresponding management system and measures,positively rectification,after implement,pointed inspection again and several one to one supervise,go round and round,make total management quality kept elevating.RESULT The research check four pharmacies,a drug storehouse,four operating rooms,eight wards.Before the rectification,there are 88 pieces had been checked out,such as no establish base number table,no safety box,no dedicated account book,no monitoring and alarm system.Medical staff have poor knowledge about narcotic and psychotropic drugs management,resulting in many management lack of standardization.After the rectification,hardware side such as base number table,safety box,dedicated account book,monitoring and alarm system had been equipped,software side such as three-grade management,base number management,five specialized management and batch number management had been gradually standard,narcotics and psychotropic substances management problems gradually drop to four pieces.CONCLUSIONS Continuous quality improvement and pointed management apply to management of narcotic and psychotropic drugs,enhancing management quality of narcotic and psychotropic drugs,guaranting medication safety of narcotic and psychotropic drugs.
OBJECTIVE To explore continuous quality improvement and pointed management in improving hospital narcotic drugs and psychotropic drugs of category I management effect.METHODS We establish hospital narcotic and psychotropic drugs management team,we check out problem in narcotics and psychotropic substances management of our hospital,draw up corresponding management system and measures,positively rectification,after implement,pointed inspection again and several one to one supervise,go round and round,make total management quality kept elevating.RESULT The research check four pharmacies,a drug storehouse,four operating rooms,eight wards.Before the rectification,there are 88 pieces had been checked out,such as no establish base number table,no safety box,no dedicated account book,no monitoring and alarm system.Medical staff have poor knowledge about narcotic and psychotropic drugs management,resulting in many management lack of standardization.After the rectification,hardware side such as base number table,safety box,dedicated account book,monitoring and alarm system had been equipped,software side such as three-grade management,base number management,five specialized management and batch number management had been gradually standard,narcotics and psychotropic substances management problems gradually drop to four pieces.CONCLUSIONS Continuous quality improvement and pointed management apply to management of narcotic and psychotropic drugs,enhancing management quality of narcotic and psychotropic drugs,guaranting medication safety of narcotic and psychotropic drugs.
引文
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9.Nnaemeka G,Okafor,Pratik B.etl.Voluntary Medical Incident Reporting Tool to Improve Physician Reporting of Medical Errors in an Emergency Department^.Western Journal of Emergency Medicine.2015,XVI(7):1073-1078.
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12.张玲,王宇.浅谈口腔专科临床护理教学中存在的问题与对策[J].卫生职业教育,2011,29(11):100-101.
13.林万龙,陈瑶应用PDCA循环管理法规范剖宫产围术期抗菌药物的预防使用[J].中国医院药学杂志,2015,35(5):443447.
14.韦宁,盘红梅,蔡乐,等.306例麻醉药品、第一类精神药品管理与使用咨询情况分析[J].中国医院药学杂志,2013,33(17):1438-1439.
2.Frankish H.15 million new cancer cases per year by 2020,says WHO[J].The Lancet,2003,361(4):1278.
3.尹文强,吴玉联,王烨.层级培训与自查互控模式在麻醉药品管理中的应用医药导报[J].医药导报,2014,33(5):694-695.
4.卫医秘(2013)290号.
5.卫医秘(2015)537号.
6.陆琴,沈春苗.持续质量改进在标本送检流程中的应用[J].中华护理杂志,2005,40(10):778-779.
7.邵翠颖,金钰梅,朱胜晋.65份质量改进项目效果分析及对策[J].中国实用护理杂志,2006,22(9):64-65.
8.陈爱萍、孙红、姚莉、蔡虻.持续质量改进在护理质量管理中的应用[J].中华护理杂志,2005,40(2):123-124.
9.Nnaemeka G,Okafor,Pratik B.etl.Voluntary Medical Incident Reporting Tool to Improve Physician Reporting of Medical Errors in an Emergency Department^.Western Journal of Emergency Medicine.2015,XVI(7):1073-1078.
10.Van Boven Job F M.Stuunnan-Bieze Ada G G.Hiddink Eric G etl.Medication monitoring and optimization:a targeted pharmacist program for effective and cost-effective improvement of chronic therapy adherence.Academy of Managed Care Pharmacy.2014,20(8):786-792.
11.L6pez-Montenegro Soria M A.Albert Man A.Jimtinez Torres N.Measurement of continuous improvement in the safety of oncologic patients.Farm Hosp.2013,37(02):143-150.
12.张玲,王宇.浅谈口腔专科临床护理教学中存在的问题与对策[J].卫生职业教育,2011,29(11):100-101.
13.林万龙,陈瑶应用PDCA循环管理法规范剖宫产围术期抗菌药物的预防使用[J].中国医院药学杂志,2015,35(5):443447.
14.韦宁,盘红梅,蔡乐,等.306例麻醉药品、第一类精神药品管理与使用咨询情况分析[J].中国医院药学杂志,2013,33(17):1438-1439.
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