持续质量改进在内科病区高危药品管理中的应用

目的:探讨持续质量改进在内科病区高危药品管理中的应用。方法:回顾2015年1月至2016年1月内科病区高危药品管理中存在的问题,在2016年1月至2017年1月在内科病区高危药品管理实施持续质量改进管理,对比实施前后的高危药品管理效果。结果:实施前,出现高危药品不规范存放11次,备用基数不合理8次,高危药品过期13次,口头医嘱不规范执行18次,实施后分别出现0.00%、2.00%、1.00%,2.00%,持续质量改进在内科病区高危药品管理中实施后各问题出现情况均少于实施前,差异有统计学意义(P>0.05)。实施前医护人员高危药品知识评分低于实施后医护人员高危药品知识评分,P>0.05。结论:应用持续质量改进对高危药品实施强化管理,可提高高危药品管理质量,提高医护人员对高危药品安全用药能力。

[Objective]:To investigate the continuous quality improvement in the management of internal medicine ward high-risk drug applications.Methods:retrospective between January 2015 and January 2015 the problems existing in the internal medicine ward high-risk drug administration,in January 2016 to January 2017 in internal medicine ward high-risk drug management implementation of continuous quality improvement,high-risk drug administration before and after the contrast effect.Results:before the implementation of high-risk drug store is not standard 11 times,8 times the standby base is not reasonable,high-risk expired drugs 13 times,not standardized verbal orders executed 18 times,after the implementation of the 0%,2%,1%,2%respectively,the implementation of continuous quality improvement in the management of high-risk drugs in the Department of internal medicine after the problems were less than before,the difference was statistically significant(P>0.05).The knowledge score of high risk drugs for medical staff was lower than that of high risk medicine after implementation,P>0.05.Conclusion:the implementation of continuous quality improvement to strengthen the management of high-risk drugs can improve the quality of high-risk drug administration and improve the safe medication ability of medical staff to high-risk drugs.