6S模式在静脉药物调配中心安全管理中的应用  

Application of 6S mode in the safety management of PIVAS

作　　者：张晓霞[1] 卢秀娟[1] 魏玮[1] 安梦娜 张亚婷[1] 王牛民[1] 辛霞[1] 

机构地区：[1]西安交通大学第一附属医院药学部静配中心,陕西西安710061

出　　处：《中华全科医学》2016年第8期1392-1394,共3页Chinese Journal of General Practice

基　　金：西安交通大学第一附属医院院基金软科学资助项目(2013YK13)

摘　　要：目的 静脉药物集中调配中心（pharmacy intravenous admixture services,PIVAS）的工作具有多流程、高风险、高强度的特点,为了降低PIVAS内部差错、提高工作效率、加强安全管理、确保患者静脉用药安全,故将6S模式引入到PIVAS安全管理流程当中。方法 回顾性分析2012年1-6月西安交通大学第一附属医院PIVAS未实施6S管理前PIVAS内部差错情况,在PIVAS成立6S管理执行小组,对全体人员进行6S管理相关知识培训,明确推行6S管理意义及重要性,采用头脑风暴法对存在的安全隐患进行汇总,分析易造成内部差错的环节及原因,完善相应工作流程,于2012年7月起严格按照6S模式进行日常管理,系统实施6S管理模式：整理、整顿、清扫、清洁、素养、安全6项措施,对实施后效果进行评价,统计2012年7-12月期间实施6S管理后PIVAS工作服务质量,采用t检验对比实施6S管理前后PIVAS工作效率、工作质量等指标。结果 实施6S管理模式后,PIVAS的整体工作服务质量明显上升,尤其在PIVAS常见的5种内部差错（标签贴错、药品排错、标签打印错误、加药错误、标签遗漏）发生率明显降低（P〈0.05）,工作效率及科室满意度提高。结论 6S管理模式能够改善PIVAS工作环境,提高工作效率及人员职业素养,减少内部差错的发生,确保临床患者静脉药物的安全性和有效性。Objective The works in Pharmacy Intravenous Admixture Services（ PIVAS） were with the characteristics of multiple processes,high risk and high intensity. 6S model management was introduced into the PIVAS safety management process,in order to reduce the internal errors of PIVAS,improve work efficiency,strengthen the safety management,and ensure the safety of clinical patients intravenous drug usage. Methods The study analyzed the internal error of PIVAS and the causes before the implementation of 6S management during the period of January to June and July to December in2012 retrospectively. Firstly,6S management implementation team was set up in PIVAS,and the training for 6S management knowledge was performed in all staffs to strength the significance and importance of 6S management,summarized the exists potential safety hazard by the method of brainstorming,and perfected the corresponding workflow. 6S management（ including seiri,seiton,seiso,seiketsu,shitsuke and safety） was implemented daily from July,2012 to December,2012 strictly. The effect such as work efficiency and work quality after the implementation of 6S mode in the PIVAS were evaluated. Results The entire quality of PIVAS service was improved distinctly after the implementation of 6S mode,especially in decreasing the rate of five common internal error of PIVAS（ wrong labels,wrong order of drugs,errors in label printing,wrong dose or medicine,and omissions of labels）,P〈0. 05,and the efficiency and department satisfaction were improved. Conclusion 6S mode can improve the working conditions and staff professionalism,reduce the occurrence of internal errors,and ensure the safety and efficiency of configuration of intravenous admixture.

关 键 词：6S模式 静脉药物配置中心 安全管理 

分 类 号：R197.323.2[医药卫生—卫生事业管理]