品管圈活动对降低医院静脉用药集中调配中心调剂差错的成效分析

Efficiency Analysis on Quality Control Circle Activities in Reducing Dispensing Errors in PIVAS of Hospitals

目的:分析品管圈(QCC)活动对降低医院静脉用药集中调配中心(PIVAS)调剂差错的成效,为保障患者用药安全提供参考。方法:运用QCC手法,收集数据并分析差错类型及原因,通过计划(Plan)、实施(Do)、确认(Check)和处置(Action)等一系列活动步骤,比较活动前后发生调剂差错数据差异,计算活动后改善的幅度。结果:通过QCC活动的开展,调剂差错由原先的63件/月降至27件/月,目标达成率为133.33%,提高了各圈员解决问题的能力及责任感,完善了PIVAS的操作规程。结论:通过开展QCC活动,形成了标准化操作规程,降低了调配差错,提高了工作效率,提升了药学服务质量。

Objective: To analyze the efficiency of Quality Control Circle(QCC) activities in reducing dispensing errors of pharmacy intravenous admixture services(PIVAS) in hospitals and to provide a reference for ensuring the medication safety of patients. Methods: Using QCC technique to collect and analyze the types and causes of errors in data.Through a series of activity steps, such as Plan(P), Doing(D), Check(C) and Action(A), the difference of dispensing error data before and after the activity were compared,and the magnitude of the improvement after the activity was calculated. Results: Through the development of QCC activities, the dispensing error was reduced from the original 63 cases/month to 27 cases/month;the target achievement rate was 133.33%, which improved the problem solving ability and sense of responsibility of each circle member and improved the PIVAS operating procedures. Conclusion: By carrying out QCC activities, standardized operating procedures have been formed, which can reduce dispensing errors, so the work efficiency and the quality of pharmaceutical service are improved.