通过质量控制提升药学服务能力的实践与应用

Practice and Application of Pharmaceutical Care Ability Improvement through Quality Control

目的:探讨质量控制管理在静脉用药集中调配中心(pharmacy intravenous admixture services,PIVAS)工作中的应用实践,优化PIVAS工作流程,改善和提升药学服务能力。方法:收集整理2018年1月—6月和2019年1月—6月PIVAS不合理医嘱干预情况和输液调配情况,比较、分析质量控制改善前后PIVAS不合理医嘱干预成功率、调配差错率与临床满意度。结果:通过质控标准体系的建立、多部门医务工作者沟通的提升、质控数据的分析与改善等具体措施,PIVAS不合理医嘱数明显降低,医嘱干预成功率由87.31%上升至96.82%,调配差错率0.245‰降低至0.053‰,临床满意度明显提高。结论:在质量控制模式下,PIVAS工作质量得到改善,与临床沟通更加顺畅,保障了患者合理、安全、有效的用药,提升了药学服务能力。

Objective:To explore the application and practice of quality control management in the pharmacy intravenous admixture services(PIVAS),optimize the work flow of PIVAS,and improve and enhance the ability of pharmaceutical care.Methods:The situation of unreasonable medical order intervention and infusion allocation in PIVAS from January to June 2018 and January to June 2019 were collected,and the success rate of unreasonable medical order intervention,deployment error rate and clinical satisfaction of PIVAS before and after quality control improvement were compared and analyzed.Results:Through the establishment of quality control standard system,improvement of communication in medical workers from multiple departments,analysis and improvement of quality control data and other specific measures,the number of unreasonable medical orders in PIVAS decreased significantly,the success rate of medical order intervention increased from 87.31%to 96.82%,and the deployment error rate decreased from 0.245‰to 0.053‰.Clinical satisfaction rate was significantly improved.Conclusions:Under the quality control mode,the work quality of PIVAS is improved,the communication with clinical is more smooth,the rational,safe and effective drug usage of patients is guaranteed,and the pharmaceutical care ability is improved.