品管圈在减少静脉药物配置过程差错中的应用

Application of Quality Control Circle in Reducing Error of Intravenous Drug Dispensing

目的:减少静脉药物配置过程中的差错,保障患者用药安全。方法:通过在静脉药物配置中心开展品管圈活动,分析差错类型及发生原因,提出对策并实施;对比活动前、后某时间段内平均每周差错件数,计算目标达标率,对照效果进行标准化、检讨与改进。结果:差错的主要类型有药品发放数量、品项、批次份数、冲配错误,为此采取对实习生、新进人员、参与冲配的护士的上岗培训,申请专人负责拆药,调整药师岗位工作职责,开展目视管理,改进计算机工作程序等措施,使静脉药物配置过程中的差错由活动前的平均每周71.46件减少到平均每周23.38件,目标达标率为139.32%。同时,药师的责任心、自信心得到提升。结论:本次品管圈活动的开展,减少了静脉药物配置过程中的差错,增加了团队凝聚力,提高了患者用药安全性。

OBJECTIVE： To reduce error in intravenous drug dispensing in order to guarantee the safety of drug use of patients. METHODS： By carrying out the activity of quality control circle （QCC） in pharmacy intravenous admixture service （PIVAS）, analyzing the types and reason of dispensing error, the countermeasures were proposed and conducted. The number of weekly dispensing error was compared during a period before and after QCC activity, and the achievable rate was calculated. The effects of QCC activity was standardized, reviewed and improved. RESULTS： The types of dispensing error included quantity error, item error, batch error and preparation error. Some measures had been carried out, including training of trainee, new employee and nurse who dispensing drugs, specially-assigned person in charge of dismounting drug, the adjustment of occupational responsibility, the development of visual management, the improvement of computer working procedure. The average number of dispensing error decreased from 71.46 per week before activity to 23.38 per week after activity. The achievable rate was 139.32%. QCC activity enhanced the responsibility and self-confidence of pharmacists. CONCLUSIONS： The development of QCC activity reduces the dispensing error, improves team cohesive force and the safety of drug use.