品管圈在提高肠外营养液灌注速度方面的应用-中国药事.PDFVIP

中国药事 2018年11月 第32卷 第11期 1575 ·医院药事· 品管圈在提高肠外营养液灌注速度方面的应用 * 刘晓月，李艳娇，张四喜，宋燕青 （吉林大学第一医院，长春 130021） 摘要 目的： 利用品管圈（QCC）方法，提高我院静脉用药调配中心（PIVAS）肠外营养液（TPN）的 灌注速度。方法：按照PDCA循环理论（计划、执行、检查、控制），运用鱼骨图法分析影响肠外营养 液灌注速度的原因，采用头脑风暴法探讨解决问题的对策并加以实施，最终评价有形成果和无形成果， 制定标准化工作流程。结果：肠外营养液的灌注速度由平均75.46 袋/小时提高至106.02 袋/小时。结论： 品管圈活动在药学部的应用，具有明显的效果和积极作用，在改进工作、提高肠外营养液灌注速度的同 时，降低了劳动强度，大大提高了临床满意度。 关键词： 品管圈；PDCA循环理论；静脉用药调配中心；肠外营养液；灌注速度 R95 A 1002-7777(2018)11-1575-06 中图分类号： 文献标识码： 文章编号： doi:10.16153/j.1002-7777.2018.11.019 Application of Quality Control Circle in Improving the Perfusion Rate of Total Parenteral Nutrition * Liu Xiaoyue, Li Yanjiao, Zhang Sixi, Song Yanqing (The First Hospital of Jilin University, Changchun 130021, China) Abstract Objective: To improve the perfusion rate of total parenteral nutrition (TPN) of pharmacy intravenous admixture service (PIVAS) in our hospital by using the method of quality control circle (QCC). Methods: The factors influencing perfusion rate of TPN were analyzed by using the method of fishbone diagram according to the theory of plan-do-check-action (PDCA) cycle. Moreover, countermeasures to the problems were discussed and implemented by using the method of brainstorming. Finally, the tangible and intangible results were evaluated and a standardized workflow was developed. Results: The average perfusion rate of the TPN increased from 75.46 bags per hour to 106.02 bags per hour. Conclusion: Application of QCC activity in department of medicine had an obvious effect and played a positive role, which improved work efficiency, increased perfusion rate of the TPN, reduced the labor intensity and greatly improved the clinical satisfaction. Keywords: QCC; PDCA cycle theory; PIVAS; TPN; perfusion rate 品管圈（Q