品管圈在静脉药物配置中心应用与效果评价.PDFVIP

·药房管理· 品管圈在静脉药物配置中心的应用及效果评价 ＊ # 单松桂 ，赖伟华 ，陈 奇，张 昕（广东省医学科学院/广东省人民医院药学部，广州 510120） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2014）25-2341-03 DOI 10.6039/j.issn. 1001-0408.2014.25.13 摘 要 目的：减少静脉药物配置中心（PIVAS ）药品破损。方法：成立PIVAS 质量管理小组，应用品管圈方法，分析药品破损的原 因，制定措施并实施，评价有形成果和无形成果。结果：制定的措施包括药品上架及摆放要整齐、适量，易破损药品应安全摆放并 标示，药品拆包后尽量装盒并免压，放置于冰箱中药品要经3人校对，避免过多药品堆积在洁净工作台上，在处方上特殊用量用法 的药品名称下画红线作警示等。取得的有形成果包括药品破损金额由实施前的每月1413.1元降为实施后的541.82元，药品破损 次数由每月14次降为7.6次；无形成果中药师团队对品管圈的方法运用、活动信心和责任荣誉等均有显著提高。结论：应用品管 圈加强PIVAS 各环节的质量控制，完善规章制度及流程，可优化静脉药物配制质量体系，有效提高经济效益和医疗服务水平。 关键词 静脉药物配置中心；药品破损；品管圈；应用；效果 Application of QCC in PIVAS and Evaluation of Its Effects SHAN Song-gui ，LAI Wei-hua ，CHEN Qi ，ZHANG Xin （Dept. of Pharmacy ，Guangdong Provincial People ’s Hospital/Guangdong Academy of Medical Sciences ，Guangzhou 510120，China ） ABSTRACT OBJECTIVE ：To reduce the drug wastage in Pharmacy intravenous admixture services （PIVAS ）. METHODS ：PIV- AS quality management group was established to analyze the reasons for the drug wastage ，formulate and implement the measures and evaluate tangible and intangible achievements by using Quality control circle （QCC ）. RESULTS ：A series of countermeasures were formulated ，such as placing drugs in order and appropriate amount ；frangible drugs should be put in safe place and labeled ； drugs should be kept in boxes to avoid crush as far as possible after unpacking ；the drugs kept in refrigerator should be checked by three persons ；it should be avoided to pile up excessive drug on the operating platform ；the drugs with special dosage and usage should be marked with red line in the prescriptions. Tangible achievements ：the amount of drug wastage was reduced from 1413.1 yuan a month to 541.82yuan a month ，and the times of the wastage were reduced from 14times a month to 7.6times a month ；in- tangible results ：the abil