品管圈在降低静脉用药集中调配中心成品输液出门漏液率中的应用
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摘要
目的降低静脉用药集中调配中心成品输液出门漏液率,降低成品输液质量缺陷导致的风险。方法利用品管圈方法,统计并分析静脉用药集中调配中心送至病区的成品输液漏液原因及类型,拟定改进措施并实施,计算改进前后漏液数量在总配置量中的占比并进行效果确认,将合理措施纳入标准化管理,并对此次品管圈活动进行检讨与改进。结果漏液原因主要是因为产品工艺及袋体划破和皱褶磨损,通过对液体摆放、配置和分拣等环节方法的改进,漏液率由2.05×10~(-4)降至1.01×10~(-4)。同时节约了不必要的药品浪费,降低了成本,节约了工作时间。结论品管圈质量管理工具的运用节约了成本,提高了患者的用药安全性。
Objective To reduce the leakage rate of finished product in pharmacy intravenous admixture service,the risk caused by the leakage quality defects.Methods Using the quality control circle(QCC),the causes and types of the leakage were calculated and analyzed,formulate improvement was measured and put them into effect.Then the amount of leakage were calculated which occurred before and after the improvement in the proportion of the total amount to confirm effect.Reasonable measures should be brought into the standardized management,and at the same time we also review and improve the defective activity.Results The leakage reason is mainly due to product process,cut bag and fold wear.After the improvement of any methods such as infusion placing,admixing and sorting,the leakage rate is reduced from 2.05×10~(-4) to 1.01×10~(-4).At the same time,we also get other aspects including the unnecessary waste of drugs,cost and working hours.Conclusion Using the QCC management tools can save time and economic cost and improve the safety of medication.
Objective To reduce the leakage rate of finished product in pharmacy intravenous admixture service,the risk caused by the leakage quality defects.Methods Using the quality control circle(QCC),the causes and types of the leakage were calculated and analyzed,formulate improvement was measured and put them into effect.Then the amount of leakage were calculated which occurred before and after the improvement in the proportion of the total amount to confirm effect.Reasonable measures should be brought into the standardized management,and at the same time we also review and improve the defective activity.Results The leakage reason is mainly due to product process,cut bag and fold wear.After the improvement of any methods such as infusion placing,admixing and sorting,the leakage rate is reduced from 2.05×10~(-4) to 1.01×10~(-4).At the same time,we also get other aspects including the unnecessary waste of drugs,cost and working hours.Conclusion Using the QCC management tools can save time and economic cost and improve the safety of medication.
引文
[1]李春香,王斌全,康凤英.品管圈的历史与发展现状分析[J].护理研究,2017,31(9):1140-1142.
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[7]冯锐,郑颖,刘江,等.品管圈在PIVAS优化审方环节中的应用[J].河北医科大学学报,2016,37(5):575-578.
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[10]朱慧娟,黄蔚茹,张胜安,等.PIVAS使用非PVC双阀软袋包装输液后的无菌检查研究[J].中国药房,2016,27(1):137-139.
[11]王临润,张国兵,汪洋,等.品管圈活动在提高静脉药物配置工作质量中的应用与成效品管圈在医院药剂科质量管理持续改善中的应用[J].中国药房,2010,21(37):3491-3492.
[12]祝志梅,牟宝华,陈林.以品管圈为载体创建优质护理病房的实践与体会[J].护理与康复,2012,11(6):558-559.
[13]陶箐,冯锐,方茜,等.我国综合医院等级评审方法研究[J].中国卫生质量管理,2013,20(3):46-48.
[14]王临润,汪洋,张相宜,等.品管圈管理在医疗机构中的应用价值[J].医药导报,2012,31(6):823-826.
[15]高增敏,安聪娟,张丽华,等.品管圈活动在降低护士静脉输液环节核对差错率中的应用[J].河北医科大学学报,2014,35(5):574-577.
[2]刘素静,张雪梅,秦文明,等.影响非PVC软包装输液漏液的因素及控制措施[J].药学研究,2015,34(3):183-184.
[3]苏宝燕,陈巧辉,林淑瑜,等.静脉用药调配中心输液成品破损原因分析与对策[J].中国药业,2014,23(18):79-81.
[4]钱珊,陈进,孟祥云,等.品管圈活动在提高静脉药物配置工作质量中的应用与成效[J].海峡药学,2014,26(4):142-143.
[5]朴日红,白雪.品管圈活动在减少静脉输液外渗中的应用效果分析[J].中国医药指南,2016,14(27):291-292.
[6]程维莉,孙红燕,侯蔚蔚.QCC在降低肿瘤晚期患者静脉输液外渗发生率中的效果评价[J].新疆医学,2017,47(1):91-94.
[7]冯锐,郑颖,刘江,等.品管圈在PIVAS优化审方环节中的应用[J].河北医科大学学报,2016,37(5):575-578.
[8]罗焕华,邱丽筠,于克炜,等.静脉药物配置中心药品损耗的原因及干预对策[J].中国药房,2013,24(1):51-53.
[9]李培云,贾雅丽,樊变兰.静脉配置中心成品漏液的改进及临床效果分析[J].中国医药指南,2016,14(17):43-44.
[10]朱慧娟,黄蔚茹,张胜安,等.PIVAS使用非PVC双阀软袋包装输液后的无菌检查研究[J].中国药房,2016,27(1):137-139.
[11]王临润,张国兵,汪洋,等.品管圈活动在提高静脉药物配置工作质量中的应用与成效品管圈在医院药剂科质量管理持续改善中的应用[J].中国药房,2010,21(37):3491-3492.
[12]祝志梅,牟宝华,陈林.以品管圈为载体创建优质护理病房的实践与体会[J].护理与康复,2012,11(6):558-559.
[13]陶箐,冯锐,方茜,等.我国综合医院等级评审方法研究[J].中国卫生质量管理,2013,20(3):46-48.
[14]王临润,汪洋,张相宜,等.品管圈管理在医疗机构中的应用价值[J].医药导报,2012,31(6):823-826.
[15]高增敏,安聪娟,张丽华,等.品管圈活动在降低护士静脉输液环节核对差错率中的应用[J].河北医科大学学报,2014,35(5):574-577.