摘要
目的分析PDCA循环管理模式在提高静脉药物配置中心(PIVAS)工作质量中的效果。方法将2018年1~12月河南省洛阳正骨医院PIVAS实施的管理设为对照组,将2019年1~12月实施的管理设为观察组,对照组实施常规管理模式,观察组实施PDCA循环管理模式。比较两组的药品配置速度、配置差错发生率、药品损耗率等。结果观察组的配置速度为每人每分钟(1.42±0.17)袋,高于对照组的每人每分钟(1.19±0.21)袋;观察组的配置差错率为0.018%,低于对照组的0.048%,差异有统计学意义(χ2=132.0,P<0.05);观察组的药品损耗率为0.006%,低于对照组的0.013%,差异有统计学意义(χ2=25.6,P<0.05)。结论通过分析总结造成PIVAS工作质量低的一系列原因,应用PDCA循环管理模式,采取针对性的措施并不断持续改进,河南省洛阳正骨医院PIVAS的配置速度明显加快,配置差错率和药品损耗率也大幅下降,PIVAS的工作质量得到较大改善。
Objective To analyze the effect of PDCA circulation management mode on improving the quality of work of pharmacy intravenous admixture services(PIVAS).Methods The management implemented by PIVAS in Luoyang Orthopedic-Traumatological Hospital of Henan Province from January to December 2018 was set as the control group,the management implemented from January to December 2019 was set as the observation group.The conventional management mode was assigned to the control group,and the observation group implemented the PDCA cycle management model.The drug dispensing speed,the rate of drug dispensing error and the rate of drug loss were compared between the two groups.Results The dispensing speed of the observation group was(1.42±0.17)bags per minute,which was higher than that of the control group([1.19±0.21]bags per minute).The dispensing error rate of the observation group was 0.018%,which was lower than that of the control group of 0.048%,the difference was statistically significant(χ2=132.0,P<0.05).The drug loss rate of the observation group was 0.006%,which was lower than that of the control group of 0.013%,the difference was statistically significant(χ2=25.6,P<0.05).Conclusion By analyzing and summarizing a series of reasons for the low quality of PIVAS,using PDCA circulation management mode and taking targeted measures and continuous improvement,the speed of PIVAS configuration in Luoyang Orthopedic-Traumatological Hospital of He′nan Province has been significantly accelerated,the drug dispensing error rate and drug consumption rate have also been greatly reduced,and the work quality of PIVAS has been greatly improved.
作者
马柯
张虹
MA Ke;ZHANG Hong(Pharmacy Intravenous Admixture Services,Luoyang Orthopedic-Traumatological Hospital of He′nan Province(He′nan Provincial Orthopedic Hospital),He′nan Province,Luoyang 471002,China;College of Acupuncture&Moxibustion and Tui-na,Hu′nan University of Chinese Medicine,Hu′nan Province,Changsha 410208,China)
出处
《中国当代医药》
2020年第33期181-183,187,共4页
China Modern Medicine
基金
河南省中医药拔尖人才项目(豫中医科教[2018]35号)。
关键词
PDCA循环管理
静脉药物配置中心
工作质量
效果分析
管理模式
PDCA cycle management
Pharmacy intravenous admixture services
Work quality
Effect analysis
Management model
