持续质量改进在安全有效化疗药输注中应用.doc

持续质量改进在安全有效化疗药输注中应用[摘要] 目的 探讨持续质量改进在安全有效化疗药输注中的应用。方法 成立持续质量改进小组，分析存在问题，制定及实施质量改进措施，规范化疗药使用管理制度，强化护士对应用化疗药的责任意识和风险意识。结果 输注化疗药采取最佳的输注速度、输注顺序、输注时辰，从而降低护理风险发生率，降低患者化疗不良反应发生率，提高肿瘤患者的生活质量，使患者满意。结论 持续质量改进在安全有效化疗药输注中疗效较好，值得推广。 [关键词] 静脉化疗；管理；持续质量改进 [中图分类号] R453 [文献标识码] C [文章编号] 1673-9701（2011）36-114-03 Application of Continuous Quality Improvement in Safe and Effective Chemotherapeutics Infusion PAN Aijun Ningbo Medical Treatment Center Lihuili Hospital，Ningbo 315040， China [Abstract] Objective To discuss application of continuous quality improvement in safe and effective chemotherapeutics infusion. Methods A group of continuous quality improvement was established to analyze the problem existed，by which measures of quality improvement were formulated and implemented while management rules of chemotherapy medication were standardized. Nurses′responsible and risking senses were enhanced in application of medication chemotherapy. Results Chemotherapeutics infusion should adopt topgallant speed in reasonable sequence at suitable time point in order that the risking probability in nursing and the adverse reaction probability in the patients during chemotherapy could be reduced. It was helpful for the patients with tumors to improve their living quality and to be more satisfied. Conclusion Curazive effect of continualls qualiby improvement in safe and effative chemotherapentics infusion is good, and is worthy in clinical widely. [Key words] Venous transfusion；Management；Continuous quality improvement 恶性肿瘤是目前威胁人类健康的第一大杀手，我国每年癌症发病人数呈逐年上升趋势。静脉输注化疗药物是治疗恶性肿瘤的主要手段之一，但化疗在治疗疾病的同时，不仅对病人产生了很多毒副作用，也使护理工作的风险大大提高。在肿瘤治疗尚未取得突破性进展的今天，如何运用有效的管理手段安全输注化疗药物、提高治疗效果、尽可能地减轻化疗不良反应、提高肿瘤患者的生活质量，已成为肿瘤专业人员不断探索的重要问题。持续质量改进（continuous quality improvement，CQI）是指在全面质量管理基础上更注重过程环节质量控制的一种质量管理方法[1]。2011年1～6月，本院对静脉输注化疗药物实施CQI，效果较好，现报道如下。 1 临床资料 科室护理人员11人均为女性；年龄25～42岁，护龄3～23年；其中副主任护师2人，主管护师4人，护师3人，护士2人。收住的恶性肿瘤患者以鼻咽癌、口腔癌、食道癌、肺癌、乳腺癌、肠癌等为主；化疗药物以紫杉醇（PTX）、多西他赛、伊立替康（CPT-11）、依托泊苷（VP-16）、氟尿嘧啶（5-