基于鱼骨图分析法的管理模式在抗肿瘤药物配制管理中的效果研究

Study on the effect of management mode based on fishbone diagram analysis in antitumor drug formulation management

目的探讨基于鱼骨图分析法的管理模式在抗肿瘤药物配制管理中的效果。方法选取2022年1月至2024年2月福州大学附属省立医院静脉药物调配中心的抗肿瘤药物配制单为研究对象。其中,2022年1月至2023年1月配制的72250剂抗肿瘤药物为对照组,应用常规药物配制管理模式进行管理;2023年2月至2024年2月配制的77815剂抗肿瘤药物为观察组,应用基于鱼骨图分析法的药物配制管理模式进行管理。比较两种管理模式下的处方审核情况、抗肿瘤药物配制情况及抗肿瘤药物发放情况。结果观察组抗肿瘤药物处方的审核时长、排药时长、药物配制时长、药物发放时长均显著短于对照组,不合理处方发生率、药物配制错误率、药物损耗率、制剂发放错误率均显著低于对照组(P<0.05)。结论基于鱼骨图分析法的药物配制管理模式可显著提高工作效率和药物配制质量,减少配药差错。

Objective To explore the effect of management mode based on fishbone diagram analysis in antitumor drug formulation management.Methods The preparation of antitumor drugs in the Intravenous Drug Dispensing Center of Affiliated Provincial Hospital of Fuzhou University from January 2022 to February 2024 were selected as study object.Among them,72250 sets of antitumor drugs prepared from January 2022 to January 2023 were included in control group,which was managed by conventional drug preparation management mode.77815 sets of antitumor drugs prepared from February 2023 to February 2024 were included in observation group,which was managed by the drug formulation management mode based on fishbone diagram analysis.The prescription review,antitumor drug formulation and antitumor drug distribution under two management modes were compared.Results The review time,drug discharge time,drug preparation time and drug distribution time of antitumor drug in observation group were significantly shorter than those in control group,and the incidence of irrational prescription,drug formulation error rate,drug loss rate and drug delivery error rate were significantly lower than those in control group(P<0.05).Conclusion The drug dispensing management mode based on fishbone diagram analysis can significantly improve work efficiency and drug dispensing quality,and reduce dispensing error.