品管圈活动在降低静脉用药调配中心新生儿TPN混合调配误差率中的应用效果  

Application effect of quality control circle in reducing the error rate of mixed preparation of neonatal TPN in pharmacy intravenous admixture service

作　　者：薛慧 李明珠 张娟娟 刘秀芝 张桃桃 仵利娟 XUE Hui;LI Mingzhu;ZHANG Juanjuan;LIU Xiuzhi;ZHANG Taotao;WU Lijuan(Pharmacy Department,Northwest Women's and Children's Hospital,Xi'an 710061;Nursing Department,Meixian People's Hospital,Baoji 722300,China)

机构地区：[1]西北妇女儿童医院药剂科,陕西西安710061 [2]宝鸡市眉县人民医院护理部,陕西宝鸡722300

出　　处：《临床医学研究与实践》2024年第23期183-186,共4页Clinical Research and Practice

摘　　要：目的探究品管圈活动(QCC)在降低静脉用药调配中心(PIVAS)新生儿全肠外营养液(TPN)混合调配误差率中的应用效果。方法运用QCC管理方法,确定以“降低新生儿TPN混合调配误差率”为活动主题,运用鱼骨图、柏拉图等方式分析导致新生儿TPN混合调配误差产生的真因,并据此制定整改措施,最终以有形成果和无形成果评价管理效果。结果改善后,新生儿TPN混合调配总误差率由5.30%下降至1.53%,其中抽吸量不准确误差率由1.97%下降至1.15%,排液量不准确误差率由1.43%下降至0.38%;目标达标率为131.82%,进步率为91.03%。圈员能力得到了显著提升。结论在PIVAS开展QCC管理能有效降低新生儿TPN混合调配误差率,提升新生儿的TPN混合调配准确性以及用药安全性。Objective To explore the application effect of quality control circle(QCC)in reducing the error rate of mixed preparation of neonatal total parenteral nutrition(TPN)in pharmacy intravenous admixture service(PIVAS).Methods The QCC management method was used to determine the theme of"reducing the error rate of neonatal TPN mixed preparation".The fishbone diagram and Plato were used to analyze the true causes of the error of neonatal TPN mixed preparation,and the rectification measures were formulated accordingly.Finally,the management effect was evaluated with tangible and intangible results.Results After improvement,the total error rate of neonatal TPN mixed preparation decreased from 5.30%to 1.53%,the error rate of inaccurate suction volume decreased from 1.97%to 1.15%,and the error rate of inaccurate drainage volume decreased from 1.43%to 0.38%;the target compliance rate was 131.82%,and the progress rate was 91.03%.The ability of circle members significantly improved.Conclusion QCC management in PIVAS can effectively reduce the error rate of neonatal TPN mixed preparation,improve the accuracy of neonatal TPN mixed preparation and drug safety.

关 键 词：新生儿 全肠外营养液 静脉用药调配中心 品管圈活动 误差率 

分 类 号：R95[医药卫生—药学]