品管圈提升全肠外营养液医嘱调配准确率效果评价  

Effect of Quality Control Circle on Improving the Dispensing Accuracy of Total Parenteral Nutrition

作　　者：祁麟 章萍 李晋文 齐春胜 陈毓雯 QI Lin;ZHANG Ping;LI Jinwen;QI Chunsheng;CHEN Yuwen(Hematology Hospital of Chinese Academy of Medical Sciences·Institute of Hematology,Chinese Academy of Medical Sciences·State Key Laboratory of Experimental Hematology·National Clinical Research Center for Blood Diseases·Haihe Laboratory of Cell Ecosystem,Tianjin,China 300020;Tianjin Medical Health Research Institute,Tianjin,China 301600)

机构地区：[1]中国医学科学院血液病医院·中国医学科学院血液学研究所·实验血液学国家重点实验室·国家血液系统疾病临床医学研究中心·细胞生态海河实验室,天津300020 [2]天津医学健康研究院,天津301600

出　　处：《中国药业》2023年第8期24-28,共5页China Pharmaceuticals

基　　金：中国医学科学院临床与转化医学研究专项项目[2021-I2M-C&T-B-084];天津市卫生健康科技项目[TJWJ2021QN074]。

摘　　要：目的提升静脉用药调配中心(PIVAS)全肠外营养(TPN)液医嘱调配准确率。方法PIVAS通过成立品管圈(QCC)小组,按拟订活动计划、确定活动目标、明确主要原因、制订和实施对策4个标准化步骤进行QCC活动。统计医院2020年11月至2021年2月TPN液医嘱调配差错率,并制订改进措施。比较实施QCC活动前后TPN液医嘱调配差错率。结果QCC活动后(2021年6月至9月),TPN液医嘱调配差错率为2.01%,显著低于活动前的3.65%(P<0.05);QCC组员的品管手法、和谐度、解决问题的能力、积极性、自信心、沟通协调、责任心的平均得分,分别由活动前的2.14,3.14,3.14,3.14,3.14,3.14,3.57分升至活动后的4.00,4.86,4.00,4.57,4.00,4.14,4.14分。结论QCC活动可明显提升TPN液调配准确率,并形成标准化的有效措施,保障TPN液调配的安全性和有效性。Objective To improve the dispensing accuracy of total parenteral nutrition(TPN)prescriptions in the pharmacy intravenous admixture services(PIVAS).Methods A quality control circle(QCC)group was established in the PIVAS to implement the QCC activity through four standardized steps:formulating an activity plan,determining activity objectives,identifying main causes,formulating and implementing countermeasures.The dispensing error rate of TPN medical orders in the hospital from November 2020 to February 2021 was counted,and the improvement measures were formulated.The dispensing error rates of TPN medical orders before and after the implementation of QCC activity were compared.Results After the implementation of QCC activity(from June to September 2021),the dispensing error rate of TPN medical orders was 2.01%,which was significantly lower than 3.65%before the implementation(P<0.05).The average scores of QCC team members on quality control techniques,harmony,problem-solving ability,motivation,self-confidence,communication and coordination,and sense of responsibility increased from 2.14,3.14,3.14,3.14,3.14,3.14,3.57 points before the activity to 4.00,4.86,4.00,4.57,4.00,4.14,4.14 points after the activity.Conclusion QCC activity can significantly improve the dispensing accuracy of TPN prescriptions,and form standardized and effective measures to ensure the safety and effectiveness of TPN dispensing.

关 键 词：品管圈 PDCA循环 全肠外营养 医嘱调配 准确率 静脉用药调配中心 

分 类 号：R95[医药卫生—药学]