在移动护理系统下高危药品闭环管理的持续质量改进

Based on the PDA using closed-loop management and PDCA to manage the high-alert medications

目的:加强高危药品的管理,减少用药安全不良事件的发生率。方法:依托PDCA循环管理模式,对高危药品管理问题进行分析,设计PDA(Personal Digital Assistant)的双人核对流程及移动护理字典的功能,对高危药品辨识不清及单人核对等问题进行了改进。结果:改进后用药护理不良事件发生率下降。结论:PDCA循环与PDA结合使用减少了护理用药不良事件发生,提升了高危药品管理水平,保证了临床用药安全。

Objective:To strengthen management of high-alert medications,and reduce incidence of drug-related adverse events. Methods:Based on the management model of PDCA cycle,the problems in the management of high-alert medications are addressed; PDA(Personal Digital Assistant)-based double check procedure and mobile nursing dictionary feature are designed to improve the problems including unclear identification of high-alert medications and single check. Results:The improvements resulted in reduced incidence of adverse events in medication nursing. Conclusion:Combined use of PDCA cycle PDA could reduce incidence of adverse events associated with nursing medications,and improve management of high-alert medications,further guaranteeing clinical drug safety.