焦点循环管理法在静脉用药调配中心多环节质量控制中的应用  

Application of focus cycle management method in multi-link quality control of pharmacy intravenous admixture service

作　　者：高婕[1] 孙喜梅[1] 刘 郝军华[1] 王岩岩[1] GAO Jie;SUN Ximei;LIU Yan;HAO Junhua;WANG Yanyan(Pharmacy Intravenous Admixture Service,Zibo Central Hospital,Shandong Province,Zibo 255036,China)

机构地区：[1]山东省淄博市中心医院静脉用药调配中心,山东淄博255036

出　　处：《中国当代医药》2024年第16期140-144,共5页China Modern Medicine

摘　　要：目的探讨焦点循环管理法(FOCUS-PDCA)在静脉用药调配中心多环节质量控制中的应用效果。方法跟踪2016—2022年淄博市中心医院东院静脉药物调配中心各年各类错误发生情况,采用FOCUS-PDCA发现问题,分析原因,制订相应的目标及措施并持续改进,2016年FOCUS-PDCA实施前用药医嘱作为对照组,2017—2019年FOCUS-PDCA实施后用药医嘱作为第一轮干预组,2020—2022年FOCUS-PDCA实施后用药医嘱作为第二轮干预组,分析两轮干预前后不合理医嘱未审核率,排药、贴签、混合调配及复核包装不合格率变化情况。结果第一轮干预组排药、贴签和混合调配不合格率低于对照组,差异有统计学意义(P<0.017);第一轮干预组不合理医嘱未审核率和复核包装不合格率与对照组比较,差异无统计学意义(P>0.05)。第二轮干预组各类质量不合格率低于对照组,差异有统计学意义(P<0.017);第二轮干预组不合理医嘱未审核出率、排药和复核包装不合格率低于第一轮干预组,差异有统计学意义(P<0.017);第二轮干预组贴签和混合调配不合格率与第一轮干预组比较,差异无统计学意义(P>0.05)。结论FOCUS-PDCA能显著降低静脉用药调配中心的错误发生率,为临床合理用药提供保障。Objective To explore the application effect of focus cycle management method(FOCUS-PDCA)in multi-link quality control of pharmacy intravenous admixture service.Methods The occurrence of various errors in Pharmacy Intravenous Admixture Service of East Branch of Zibo Central Hospital during 2016-2022 was tracked.FOCUS-PDCA was used to find the problems,analyze the causes,formulate corresponding goals and measures and make continuous improvement.Mmedication advices before the implementation of FOCUS-PDCA in 2016 were set as the control group,medication advices after the implementation of FOCUS-PDCA from 2017 to 2019 were set as the first round intervention group,medication advices after the implementation of FOCUS-PDCA from 2020 to 2022 were set as the second round intervention group,the change of the rate of unreasonable doctor's advices not reviewed,drug dispensing,labeling,mixing and rechecking packaging unqualified rates before and after the two intervention rounds were analyzed.Results The unqualified rates of drug dispensing,labeling and mixing in the first round intervention group were lower than those in the control group,the differences were statistically significant(P<0.017).There were no significant differences between the first round intervention group and the control group in rate of unreasonable doctor's advices not reviewed and rechecking packaging unqualified rate(P>0.05).The unqualified rates of all kinds of quality in the second round intervention group were lower than those of control group,and the differences were statistically significant(P<0.017).The rate of unreasonable doctor's advices not reviewed,drug dispensing and rechecking packaging unqualified rates of the second round intervention group were lower than those of the first round intervention group,and the differences were statistically significant(P<0.017).There was no significant difference in the unqualified rate of labeling and mixing in the second round intervention group compared with the first round intervention group(P>0.05).Conc

关 键 词：焦点循环管理法 静脉药物调配中心 质量控制 效果 

分 类 号：R95[医药卫生—药学]