运用PDCA循环法提高新生儿肠外营养液输液质量的效果分析

Study on The process of parenteral nutrition

目的提高新生儿肠外营养液(TPN)的输液质量,改进静脉用药调配中心新生儿TPN的工作流程,确保新生儿的用药安全及疗效。方法运用PDCA循环法,对影响新生儿TPN输液质量的原因进行分析,设定目标,制定措施,逐一改进。结果经过1年时间的持续改进,外部差错率(新生儿TPN差错率)由原来的0.12%下降至0.00%。内部差错率(新生儿TPN差错率)由2017年第一季度高达4.6%下降至0.5%。结论通过PDCA循环法建立起一套新生儿TPN调配与成品复核流程,保证了新生儿TPN的用药安全。

Objective To improve the transfusion service of neonatal total parenteral nutrition and change the process of neonatal total parenteral nutrition in pharmacy intravenous admixture workflow,in order to ensure the safety and efficacy of neonatal medication.Methods Use PDCA cycle to analyze the reason that affect the transfusion service of neonatal total parenteral nutrition,set the target,take actions,and optimize it step by step.Results After one year of nonstop improvement,the rate of External error(neonatal TPN error) was decreased from 0.12% to 0,and the rate of internal error(neonatal TPN error) was decreased from 4.6% to 0.5%.Conclusion The new operation flows of neonate TPN admixture and medication check has been made by using PDCA cycle,ensure the safety and efficacy of neonatal medication.