持续质量改进在静脉用药调配中心的应用

Application of Continuous Quality Improvement in Pharmacy Intravenous Admixture Services

针对PIVAS静脉药物配置中原有管理方法的不足,我院自2011年以来通过引入持续质量改进管理理念及多方面多环节的改革及完善,结果表明实施持续质量改进后不仅增强了PIVAS药师与配置护士风险意识与安全配置能力,而且静脉药物配置差错发生率明显降低,药师摆药内差为0.01%,降低了36.6%,护士配置外差为0.02‰,降低了28.5%。从而保障了患者静脉用药安全,提高了服务患者满意度和医疗护理质量。

In response to the weaknesses in the original management of Pharmacy Intravenous Admixture Services (PIVAS), our hospital has introduced Continuous Quality Control (CQI) as well as manifold reforms and improvements since 2011. The results showed that CQI not only improved PIVAS pharmacists and nurses' risk awareness and admixture capabilities, but also significantly reduced admixture errors. Internal errors made by pharmacists were lowered to 0.01%, a reduction of 36.6%, while external errors by nurses to 0.02‰, a reduction of 28.5%. The conduct ensured patient's safe use of intravenous drugs and promoted patient's satisfaction and healthcare quality.