持续性质量改进在提高静脉药物配置中心工作质量的效果分析
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摘要
目的探讨持续性质量改进对于提高静脉药物配置中心工作质量的效果。方法在2016年7月~2016年12月期间对本院静脉药物配置中心采用持续性质量改进进行质量管理,对比改进前后静脉药物配置中心药物配置差错率,及临床对中心满意度差异,并进行统计学分析。结果在进行持续性质量改进后,静脉药物配置中心内部缺陷与外部缺陷错配率较改进前显著下降,差异有统计学意义(P=0.000);临床对静脉药物配置中心满意度由改进前的73%提升到91%,差异有统计学意义(P=0.001)。结论对静脉药物配置中心进行持续性质量改进有助于降低药物错配率,提高临床满意度,值得推广应用。
Objective To explore the analysis of the effect of continuous quality improvement in improving the quality of intravenous drug dispensing center. Methods From July to December in 2016, the quality management of hospital intravenous drug allocation center was improved by continuous quality improvement, to compare the drug allocation error rate of intravenous drug allocation center and the satisfaction degree of clinical center. Results After continuous quality improvement, the mismatch rate of internal defects and external defects of intravenous drug allocation center was significantly decreased compared with that before improvement(P=0.000). The satisfaction degree of clinical intravenous drug allocation center was improved from 73% to 91%(P=0.000). Conclusion The continuous quality improvement of intravenous drug allocation center can help to reduce the mismatch rate and improve the clinical satisfaction.
Objective To explore the analysis of the effect of continuous quality improvement in improving the quality of intravenous drug dispensing center. Methods From July to December in 2016, the quality management of hospital intravenous drug allocation center was improved by continuous quality improvement, to compare the drug allocation error rate of intravenous drug allocation center and the satisfaction degree of clinical center. Results After continuous quality improvement, the mismatch rate of internal defects and external defects of intravenous drug allocation center was significantly decreased compared with that before improvement(P=0.000). The satisfaction degree of clinical intravenous drug allocation center was improved from 73% to 91%(P=0.000). Conclusion The continuous quality improvement of intravenous drug allocation center can help to reduce the mismatch rate and improve the clinical satisfaction.
引文
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[2]张敬毅,刘秀平,徐明,等.JCI标准在我院静脉药物配置中心的应用实践[J].中国药房,2016,27(22):3102-3104.
[3]林秀娟,肖龙,林红燕.医院感染管理持续性质量改进对透析导管相关性感染的影响[J].广东医学,2014,35(11):1736-1738.
[4]杨军军,曹耀萍.风险管理在静脉药物配置中心护理质量管理中的实践[J].护士进修杂志,2014,29(10):895-897.
[5]言克莉,顾则娟,李金花,等.应用护理质量指标提高静脉化疗护理质量的实践[J].中华护理杂志,2013,48(3):232-234.
[6]Mc Fadden KL,Stock GN,Gowen CR 3rd.Leadership,safety climate,and continuous quality improvement:impact on process quality and patient safety[J].J Nurs Adm,2014,44(10):S27-37.
[7]Bruno F.Lean thinking in emergency departments:concepts and tools for quality improvement[J].Emerg Nurse,2017,25(6):38-41.
[8]Raeissi P,Sharifi M,Khosravizadeh O.Survey of Cancer Patient Safety Culture:A Comparison of Chemotherapy and Oncology Departments of Teaching Hospitals of Tehran[J].Asian Pac J Cancer Prev,2017,18(10):2775-2779.
[9]Zhang J,Bao J,Wang R,et al.A multicenter study of biological effects assessment of pharmacy workers occupationally exposed to antineoplastic drugs in Pharmacy Intravenous Admixture Services[J].J Hazard Mater,2016,315:86-92.
[10]Wang RH,Cao HM,Tian ZJ,et al.Efficacy of dualfunctional liposomes containing paclitaxel for treatment of lung cancer[J].Oncol Rep,2015,33(2):783-791.
[11]李千红,刘瑞,卢秀萍.持续质量改进在预防神经外科术后感染护理中的应用[J].护士进修杂志,2012,27(15):1418-1419.
[12]王雅蘋,苏素红,朱光辉,等.持续质量改进在静脉用药调配中心的应用[J].医院管理论坛,2013,30(10):45-47.
[13]侯疏影.持续质量改进用于静脉用药调配中心质量管理的成效[J].中国药业,2014,23(8):38-39.