品管圈在提高某院PIVAS药品调配残留达标率的应用研究

The application of quality control circle in improving compliance rate of drug residual in intravenous drug admixture of PIVAS in our hospital

目的:通过运用品管圈的质量管理方法,规范静脉用药集中调配操作,提高静脉用药调配中心(PIVAS)药品调配残留达标率,提高静脉输液调配质量。方法:首先建立品管圈,设立药品调配残留量限度标准,采用减重称量法、体积测量法测定药品调配残留量。然后通过现状把握、要因分析、对策拟定与实施、效果确认、标准化、检讨与改进等品管圈基本步骤提高药品调配残留达标率。结果:药品调配残留量检测方法可靠,对策实施有效,药品调配残留达标率由改善前的38.6%提升到改善后的83.70%(P<0.05),目标达成率106.87%。结论:药品调配残留量的测定方法成本费用低、操作简单,可有效测定药品调配残留达标率。应用品管圈质量管理方法可有效改善药品调配残留达标率,而且可以激发圈员学习的主动性和运用品管圈工具解决临床实际问题的能力。

OBJECTIVE To improve the compliance rate of drug residue in intravenous drug admixture and increase drug utilization, and then to set standard of intravenous drug admixture of PIVAS. METHODS First, the quality control circle was established, the limit standard of drug admixture residue was established, and the drug admixture residue was determined by weight-loss weighing method and volume measurement method. Then through the status quo grasp, cause analysis, countermeasures formulation and implementation, effect confirmation, standardization, review and improvement and other basic steps of the quality control circle to improve the compliance rate of drug admixture residues. RESULTS The detection method of drug admixture residue was reliable and the implementation of countermeasures was effective. The compliance rate of drug admixture residue increased from 38.6% before improvement to 83.70% after improvement(P<0.05), and the target achievement rate was 106.87%. CONCLUSION The application of quality control circle quality management method can effectively improve the compliance rate of drug admixture residues, and can stimulate the initiative of circle learning and the ability to use quality control circle tools to solve practical clinical problems.