质量持续改进在降低给药差错中的应用

Application of Continuous Quality Improvement in Reducing Drug Delivery Errors

目的探讨质量持续改进在降低药物使用错误率中的应用效果。方法成立护理部药品管理质控小组,运用网络信息化报告系统平台进行全程质量监控,通过戴明循环法(Plan-Do-Check-Act,PDCA)总结问题、制定改进措施。对比质量持续改进前(2022年1—6月)、后(2022年7—12月)药物使用错误情况变化。结果改进后的给药差错发生率为0.03‰,低于改进前的0.08‰(P<0.05);改进后的个人数字助理(personal digital assistant,PDA)执行率、考核合格率高于改进前,差异有统计学意义(P<0.05)。结论成立专项质量持续改进小组,动态分析原因,提出并落实改进措施,有效降低给药差错发生率。

Objective To explore the application effect of continuous quality improvement in reducing the error rate of drug use.Methods Established a quality control team for drug management in the nursing department,used the network information reporting system platform for full process quality monitoring,summarized problems through the Plan-Do-Check-Act(PDCA)method,and developed improvement measures.The changes in medication usage errors before(from January to June 2022)and after(from July to December 2022)continuous quality improvement were compared.Results The incidence of drug administration error after improvement was 0.03‰,lower than 0.08‰before improvement(P<0.05).The implementation rate and pass rate of personal digital assistant(PDA)after improvement were higher than those before improvement,and the differences were statistically significant(P<0.05).Conclusion Establish a dedicated quality continuous improvement team,dynamically analyze the reasons,propose and implement improvement measures,and effectively reduce the incidence of medication errors.