品管圈在缩短静配中心难溶性针剂调配时间中的应用

Application of Quality Control Circle in Shortening the Dispensing Time of Poorly Soluble Powder Injections in PIVAS

目的:通过在静脉用药集中调配中心(PIVAS)开展品管圈活动,缩短难溶性粉针剂的总配置时间,减少医疗纠纷,保障患者用药安全;同时,提高员工的自我管理意识以及发现问题、解决问题的能力,营造团队协作氛围。方法:在原有3期品管圈活动经验的基础上,选择挑战性更高的课题研究型品管圈(亦被称为"创新型"QC小组,是建立在成熟品管理念和新品管手法基础上,主要针对新的、无既往经验的工作,通过探讨对策和手段,创造出新的工作方法,达成新的期望值),按照品管圈的十大步骤进行计划、实施、确认、处置。结果:PIVAS难溶性粉针剂的调配时间由改善前的5.2 h/600支,降低至改善后的2.1 h/600支,提高了员工的业务能力和开拓创新思维,增强了存在感和荣誉感。结论:品管圈活动有效缩短了难溶性粉针剂的调配时间,能够不断发现问题和解决问题,提升了员工的主人翁意识以及主动改变的执行力。

Objective： To shorten the total dispensing time of poorly soluble powder injections, to reduce hospital disputes, and to ensure the patient＇s medication safety by carrying out quality control circle （QCC） activities in the pharmacy intravenous admixture service （PIVAS）. Besides, to increase the staffs self-management awareness and their abilities to find and solve problems and to create a team collaboration atmosphere. Methods： Based on the previous experience of stage 3 QCC activities, a more challenging research type of QCC was selected （also known as the ＂innovative＂ QC group, based on the concept of mature quality control and new quality control practices, focusing mainly on new work without previous experience, to create new working methods and achieve new expectations by exploring strategies and means）. Planning, implementation, confirmation and disposal were carried out in accordance with the ten steps of QCC. Results： The dispensing time of poorly soluble powder injections in PIVASI was reduced from 5.2 tl/600 injections before the improvement to 2.1 bJ600 injections after the improvement. The professional ability and innovative thinking of the staff were improved. The sense of existence and honor was also enhanced. Conclusion： QCC activities effectively shortened the dispensing time of poorly soluble powder injections. Moreover, QCC activities could continuously find and solve problems and enhance the employee＇s sense of ownership, and increase their execution power to change actively.