品管圈用于降低静脉药物调配中心出仓装筐差错实践

The Practice of QCC be Used to Reduce Warehouse Loading Basket Errors in Pharmacy Intravenous Admixture Services

目的降低静脉药物调配中心(PIVAS)成品出仓装筐差错率。方法成立PIVAS质量管理小组,应用品管圈方法,分析成品出仓装筐差错的原因,制定措施并实施,针对有形成果和无形成果进行评价分析。结果制定的措施包括重新调整批次液体量,减少01批次配置数,平衡各批次出仓压力;出仓扫描、成品装筐固定班次;所有装筐差错事件均由负责装筐的工作人员重新下送并进行差错登记;严格强调出仓工作纪律并由出仓药师进行监督、提醒等。取得的有形成果是平均日出仓差错件数由1.6件降低为0.7件;无形成果是营造富有激情的工作氛围,运用品管圈方法激发员工的潜能,提高其解决问题的能力,团队意识,目标意识,自信心等,从而提高PIVAS工作绩效。结论应用品管圈方法加强PIVAS各环节的质量控制,完善规章制度及流程,提高医疗品质,改善医疗服务质量。

Objective To reduce the error rate of loaded baskets in PIVAS to safeguard patients＇ medication safety.Methods Seting up PIVAS quality management team and applicating quality control circle methods to analyze the causes of drug errors in a warehouse and to evaluate the results of tangible and intangible outcomes. Results The developed measures included re-adjusting the amount of liquid in batches and reducing the number of configurations 01 batches and balancing each batch of cabin pressure,fixed frequencies of the warehouse scanning finished loading baskets. All baskets loaded error event should be registered by the staff responsible for the re-in stalled under the basket. Emphasize the warehouse discipline strictly by pharmacists who were out of warehouse in charge of supervising and reminding,etc. The visible achievements in the daily average error rate of warehouse from 1.6 reduced to 0.7. The invisible outcome was creating a passionate atmosphere,stimulating the potential of employees,improving their problem-solving skills,teamwork,sense of purpose,self-confidence,so as to enhance job performance in PIVAS. Conclusion The application of QCC in PIVAS strengthen quality control of all aspects,improve the rules and processes to optimize the preparation of intravenous drug quality system,improve the quality of medical services