JCI标准下儿童医院高警示药品管理质量持续改进的探索与实践  

Research and Practice of Continuous Quality Improvement in High-alert Medications for Children's Hospital According to JCI

作　　者：郭品[1] 王昆祥 李莉[1] 韩慧韵 李惠英[1] 任丹阳[1] 王莎莎 王昆祥 GUO Pin;WANG Kun-xiang;LI Li;HAN Hui-yun;LI Hui-ying;REN Dan-yang

机构地区：[1]昆明医科大学附属儿童医院药剂科,云南昆明650000 [2]大理大学药学与化学学院,云南大理671000

出　　处：《昆明医科大学学报》2018年第11期39-42,共4页Journal of Kunming Medical University

基　　金：国家自然科学基金资助项目(81560262);云南省教育厅科学研究基金资助项目(2018JS240);昆明市卫生科技人才培养基金资助项目[2018-SW(后备)-18]

摘　　要：目的持续改进儿童医院高警示药品管理质量,保障患儿用药安全。方法参照JCI评审标准,通过柏拉图方法分析全院高警示药品管理质量不理想的原因,找出主要的影响因素,并以主要影响因素为高警示药品管理质量改进的指标,建立PDCA循环模型,分析原因、制定对策、定期检查及进行质量持续改进。结果高警示药品标识和定位为全院高警示药品管理质量不理想的主要影响因素;全院高警示药品标识准确率由71.8%上升到91.75%,高警示药品存放位置准确率由80.73%上升到97.75%。结论结合JCI评审标准,通过PDCA循环规范了儿童医院高警示药品管理,保障患儿用药安全。Objective To improve the management quality of children＇s hospital in high-alert medicationscontinuously ensure the medication safety of children.Methods According to JCI standards,and using theanalyses of Pareto,we analyzed the unsatisfactory management quality of the whole of high-alert medications,foundout the main influencing factors. By these indicators of quality improvement in high-alert medications which were themain influencing factors,We established the cycle model of PDCA, analyzed the causes, developedcountermeasures,checked regularly and made continuous improvement.Results The main factors influencingunsatisfactory quality of medications management were identification and location of high-alert medications,identification accuracy of high-alert medications was from 71.8% to 91.75%,and location accuracy of high-alertmedications was from 80.73% to 97.75%.Conclusion Combined with the JCI accreditation standards, weestablish the cycle model of PDCA to standardize the management of high-alert medications of the children＇s hospitalensure the medication safety of children.

关 键 词：JCI标准 儿童 高警示药品 PDCA 

分 类 号：R954[医药卫生—药学]