PDCA模式在静脉用药调配中心风险评估及管控中的应用研究

马昭朝, 司延斌, 庆昕, 杨静, 赵志刚

中国药学杂志 ›› 2020, Vol. 55 ›› Issue (16) : 1381-1385.

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中国药学杂志 ›› 2020, Vol. 55 ›› Issue (16) : 1381-1385. DOI: 10.11669/cpj.2020.16.013
论著

PDCA模式在静脉用药调配中心风险评估及管控中的应用研究

  • 马昭朝, 司延斌*, 庆昕, 杨静, 赵志刚
作者信息 +

The Application of PDCA in Risk Assessment and Management in Pharmacy Intravenous Admixture Service

  • MA Zhao-chao, SI Yan-bin*, QING Xin, YANG Jing, ZHAO Zhi-gang
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文章历史 +

摘要

目的 利用PDCA循环模式对静脉用药调配中心进行风险评估与风险管控并观察其效果。方法 选取2019年1月至3月未进行风险管控的药品差错记录作为对照,进行风险评估,统计分析找出造成差错的原因,并制定改进措施;统计2019年4月至6月应用PDCA 循环模式进行风险管控后的药品差错记录,对差错发生率进行比较。结果 通过实施PDCA循环管理办法后静脉用药调配中心的药品差错发生率明显降低,其中调配错误、摆药错误、审方错误、核对错误、贴签错误及打包错误等差错事件的发生数均明显低于实施前,差异有统计学意义(P<0.001)。结论 静脉用药调配中心风险评估及应用PDCA循环模式进行风险管控明显降低了药品差错发生率,提升了PIVAS人员的工作质量,提高了输液质量,保证静脉用药更加安全。

Abstract

OBJECTIVE To investigate the use of PDCA mode for risk assessment and risk management of pharmacy intravenous admixture service. METHODS A retrospective analysis was made on the errors recorded in the intravenous drug dispensing center from Monday 2019 to March 2019. The types and links of errors were counted and classified, and the causes were analyzed. Targeted preventive measures were implemented from April to June 2019 to observe the incidence of errors before and after prevention in intravenous drug dispensing centers. RESULTS Through the PDCA cycle management intervention, the main errors in intravenous drug dispensing center are dispensing, labeling, reviewing, checking and issuing. The incidence of errors in each link after prevention is lower than that before prevention, and the difference is statistically significant (P<0.001). CONCLUSION The PDCA cycle management and risk assessment are conducted. The paper analyzes the types and causes of common errors in intravenous drug dispensing center, so as to formulate corresponding preventive measures, which can reduce the risk factors of errors, reduce the incidence of errors, improve the quality of finished product infusion and the safety of intravenous drug use.

关键词

静脉用药调配中心 / PDCA循环 / 风险管控

Key words

PIVAS / PDCA cycle / risk management

引用本文

导出引用
马昭朝, 司延斌, 庆昕, 杨静, 赵志刚. PDCA模式在静脉用药调配中心风险评估及管控中的应用研究[J]. 中国药学杂志, 2020, 55(16): 1381-1385 https://doi.org/10.11669/cpj.2020.16.013
MA Zhao-chao, SI Yan-bin, QING Xin, YANG Jing, ZHAO Zhi-gang. The Application of PDCA in Risk Assessment and Management in Pharmacy Intravenous Admixture Service[J]. Chinese Pharmaceutical Journal, 2020, 55(16): 1381-1385 https://doi.org/10.11669/cpj.2020.16.013
中图分类号: R969   

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