020.我院静脉用药调配中心实施质量控制标准与细则前后质量问题对比分析.pdf

院静脉用药调配中心实施质制标准前

质问题对比分析

摘要目的探索构建静脉用药调配中心PI有致S质制体系并实施质制

标准前质问题改情况，提高静脉用药调配工作质提供参考方

法通过立质管理组-制定117管理制度17节质标准-

组系统培考-优化质检查临床满意度调查-开展质点评工作-评估

点评效果并做质改记录该01详7～该0146构建质制体系前

质检查调配登记检查日第批品输液时间临床满意度调查等

在质问题作实施前组该0147～该0156构建PI有致S质制体

系，按17个节质标准检查在的质问题作实施组分析统

实施质制标准前质问题数结果质问题数实施前的

494例降到实施的19详例，中人员行境质设备质药品管理

输液配标签标注等质问题数降较明显，调配差错统学意义结论

院PI有致S构建质制体系并实施质制标准全面提高静脉用药

调配中心的工作质

键词静脉用药调配中心品输液质质制标准质点评

ComparativeAnalysisofqualityproblemsbeforeandafterthe

implementationofqualitycontrolstandardsandrulesofPharmacy

IntravenousAdmixtureServiceinourhospital

Abstract:ObjectiveToexplorethequalityimprovementbeforeandafterthe

constructionofpharmacyintravenousadmixtureservice(PIVAS)qualitycontrol

systemandtheimplementationofqualitycontrolstandardsandrules,soastoprovide

referenceforimprovingtheworkqualityofintravenousadmixture.MethodsThrough

establishingqualitymanagementorganization-making117managementsystemsand

17linkqualitystandardsandrules-organizingsystemtrainingandexamination-

optimizingqualityinspectionandclinicalsatisfactionsurvey-developingquality

reviewwork-assessingrevieweffectandrecordinqualityimprovement.Thequality

problemsincludingqualityinspectionmonthly,dispensingregistrationinspection,the

outdoortimeofthefirstbatchoffinishedproductinfusionandclinicalsatisfaction

surveyfromJuly2013toJune2014weresetasthebeforeimplementationgroup.

QualitycontrolsystemwereconstructedfromJuly2014toJune2015,andinthe

meantimethequalityproblemscheckedaccordingto17linkqualitystandardsand

rulesweresetastheafterimplementationgroup.Thenweanalyzedandcollectedthe

numberofqualityproblemsbeforeandafter