品管圈活动对降低医院静脉用药集中调配中心调剂差错的成效分析
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摘要
目的:分析品管圈(QCC)活动对降低医院静脉用药集中调配中心(PIVAS)调剂差错的成效,为保障患者用药安全提供参考。方法:运用QCC手法,收集数据并分析差错类型及原因,通过计划(Plan)、实施(Do)、确认(Check)和处置(Action)等一系列活动步骤,比较活动前后发生调剂差错数据差异,计算活动后改善的幅度。结果:通过QCC活动的开展,调剂差错由原先的63件/月降至27件/月,目标达成率为133.33%,提高了各圈员解决问题的能力及责任感,完善了PIVAS的操作规程。结论:通过开展QCC活动,形成了标准化操作规程,降低了调配差错,提高了工作效率,提升了药学服务质量。
Objective: To analyze the efficiency of Quality Control Circle(QCC) activities in reducing dispensing errors of pharmacy intravenous admixture services(PIVAS) in hospitals and to provide a reference for ensuring the medication safety of patients. Methods: Using QCC technique to collect and analyze the types and causes of errors in data.Through a series of activity steps, such as Plan(P), Doing(D), Check(C) and Action(A), the difference of dispensing error data before and after the activity were compared,and the magnitude of the improvement after the activity was calculated. Results: Through the development of QCC activities, the dispensing error was reduced from the original 63 cases/month to 27 cases/month; the target achievement rate was 133.33%, which improved the problem solving ability and sense of responsibility of each circle member and improved the PIVAS operating procedures. Conclusion: By carrying out QCC activities, standardized operating procedures have been formed, which can reduce dispensing errors, so the work efficiency and the quality of pharmaceutical service are improved.
Objective: To analyze the efficiency of Quality Control Circle(QCC) activities in reducing dispensing errors of pharmacy intravenous admixture services(PIVAS) in hospitals and to provide a reference for ensuring the medication safety of patients. Methods: Using QCC technique to collect and analyze the types and causes of errors in data.Through a series of activity steps, such as Plan(P), Doing(D), Check(C) and Action(A), the difference of dispensing error data before and after the activity were compared,and the magnitude of the improvement after the activity was calculated. Results: Through the development of QCC activities, the dispensing error was reduced from the original 63 cases/month to 27 cases/month; the target achievement rate was 133.33%, which improved the problem solving ability and sense of responsibility of each circle member and improved the PIVAS operating procedures. Conclusion: By carrying out QCC activities, standardized operating procedures have been formed, which can reduce dispensing errors, so the work efficiency and the quality of pharmaceutical service are improved.
引文
[1]章新晶,陆社桂,邹霞畅.品管圈活动在降低门诊药房调剂差错件数中的应用[J].医药导报,2011,(9):253-255.
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[11]吴戈,刘芳群,欧艳,等.品管圈在自动化建设中提高门诊药房处方调配速率及优化调配路径的应用与效果分析.中南药学,2018,16(7):1030-1033.
[12]王方杰,蒋志平,彭骞,等.品管圈在儿童医院静脉用药调配中心质量持续改进中的实践与成效[J].中南药学,2016,14(2):213-217.
[13]时扣荣,李洁,刘娟,等.品管圈活动在降低门诊药品周转天数中的应用[J].中南药学,2017,15(4):524-528.
[2]刘庭芳.我国医院品管圈活动综述[J].中国医院,2015,19(07):1-3.
[3]李瑜婷.品管圈在医院的应用进展[J].当代护士:上旬刊,2017,(01):10-13.
[4]张旭.品管圈活动实施概述[J].山西医药杂志,2014,43(16):1933-1934.
[5]王群,邱虎,辛月,等.品管圈在静脉用药调配中心质量管理中的实践[J].现代医药卫生,2017,33(7):1109-1111.
[6]单松桂,赖伟华,陈奇,等.品管圈在静脉药物配置中心的应用及效果评价[J].中国药房,2014,25(25):2341-2342.
[7]袁荷花.我院静脉药物配置中心品管圈活动的实践与成效[J].中国药房,2013,(29):2735-2736.
[8]周冬初,颜素华,肖岚,等.品管圈在降低自动发药机卡药数目中的应用[J].中南药学,2016,14(4):429-431.
[9]张文娟,罗宇,许晓丽,等.探讨真因验证在品管圈活动中的重要性[J].中南药学,2018,16(2):254-257.
[10]胡兰兰,张雨洁.浅议品管圈活动在中心药房质量管理中的改善应用[J].中南药学,2016,14(9):1017-1020.
[11]吴戈,刘芳群,欧艳,等.品管圈在自动化建设中提高门诊药房处方调配速率及优化调配路径的应用与效果分析.中南药学,2018,16(7):1030-1033.
[12]王方杰,蒋志平,彭骞,等.品管圈在儿童医院静脉用药调配中心质量持续改进中的实践与成效[J].中南药学,2016,14(2):213-217.
[13]时扣荣,李洁,刘娟,等.品管圈活动在降低门诊药品周转天数中的应用[J].中南药学,2017,15(4):524-528.