医疗失效模式与效应分析在提高门诊药品管理效率中的应用效果  

Application Effects of Health Failure Mode and Effect Analysis in Improvin Efficiency of Outpatient Drug Management

作　　者：杨文斌 颜伊琪 汪飞 赵雯雯[1] YANG Wenbin;YAN Yiqi;WANG Fei;ZHAO Wenwen(Dept.of Pharmacy,the First Affiliated Hospital of Soochow University,Jiangsu Suzhou 215000,China)

机构地区：[1]苏州大学附属第一医院药学部,江苏苏州215000

出　　处：《中国医院用药评价与分析》2024年第2期246-251,共6页Evaluation and Analysis of Drug-use in Hospitals of China

基　　金：江苏省药学会-奥赛康临床药学基金科研项目(No.A202012)。

摘　　要：目的:研究医疗失效模式与效应分析(HFMEA)在门诊药品管理流程中的应用效果。方法:以HFMEA为理论框架,对该院门诊药房药品管理流程进行危害分析及决策树分析,找到需要立刻修正的失效模式,制订相应的改善方案。以2021年7—12月为干预前,2022年7—12月为干预后(HFMEA团队实施改善方案后),比较干预前后的风险优先数(RPN)及药品管理项目(药品周转天数、领药时间、盘点时间、效期核查不良事件数、药品验收差错数)的改善情况,分析改善效果。结果:经过6个月的干预,RPN由干预前的234降至96,降幅达59%,门诊药品周转天数、领药时间、盘点时间均显著缩短,效期核查不良事件数以及药品验收差错数明显降低,差异均有统计学意义(P<0.05)。结论:运用HFMEA有效筛查出药品管理流程中的失效模式,建立信息化药品管理体系,可有效提升医院药品管理水平,减少用药差错,确保患者用药安全、有效。OBJECTIVE:To explore the application effects of Health Failure Mode and Effect Analysis(HFMEA)in the outpatient drug management process.METHODS:Using HFMEA as the theoretical framework,the hazard analysis and decision tree analysis were conducted on drug management process in the outpatient pharmacy of the hospital,the failure mode that need to be corrected immediately was identified,and corresponding improvement plans were formulated.From Jul.To Dec.2021 was taken as before intervention and from Jul.To Dec.2022 was taken as after intervention(after the HFMEA team implemented the improvement plans),the improvements of risk-prioritized number(RPN)and drug management items(drug turnover days,drug receive time,inventory time,number of validity-verification adverse events,number of drug acceptance inspection errors)were compared before and after intervention to analyze the improvement effects.RESULTS:After 6 months of intervention,the RPN had decreased from 234 before intervention to 96,with a decreasing amplitude of 59%,the drug turnover days,drug receive time and inventory time were significantly shortened,the numbers of validity-verification adverse events and drug acceptance inspection errors were significantly reduced,with statistically significant differences(P<0.05).CONCLUSIONS:The application of HFMEA to effectively screen out the failure mode in drug management process and to establish informationized drug management system can significantly improve the drug management levels,reduce medication errors,ensure safe and effective medication in patients.

关 键 词：医疗失效模式与效应分析 药品管理 门诊药房 

分 类 号：R969.3[医药卫生—药理学]