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住院口服药发放流程重组以提高患者安全的成效分析

Study on effectiveness of process reengineering on distribution of inpatient oral medication
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摘要 目的通过对住院口服药发放的流程重组,提高患者的安全。方法对住院口服药发放的新流程和传统发放的效果比较,改变传统住院口服药使用的药杯为一次性的打印药袋。结果流程重组后派发口服药时患者身份识别的内容,从重组前的每个患者只有3个增加到重组后的10个;减少了药师、护士在核对药物过程中手接触污染的环节;护士核对口服药的时间由重组前每个患者耗时(0.91±0.04)min减少为(0.63±3.05)min;护士发放口服药的时间由重组前每个患者耗时(1.19±0.08)min减少为(0.57±0.04)min。结论住院口服药发放流程重组有利于提高护理安全、减少感染风险以及提高护理服务效率。 Objective To improve the patient safety through implementation of nursing process reengineering on distribution of inpatient oral medication. Methods The effectiveness of traditional and new process of distribution of inpatient oral medication was compared. The medicine cup used in the traditional process of inpatient oral medication was substituted by the medicine bag. Results Items for patient identification during the distribution of inpatient oral medication increased from 3 to 10 after nursing process reengineering. The steps to check up the oral medication which may be contaminated by hands of pharmaceutists and nurses were reduced. Time for checking up the inpatient oral medication significantly decreased from (0.91±0.04) minutes to (0.63±0.05) minutes after reengineering. Time for distribution of oral medication decreased from (1.19±0.08) minutes to (0.57±0.04) minutes after reengineering. Conclusions Process reengineering on distribution of inpatient oral medication can improve the patient safety, reduce the risk of infection and improve the efficiency of nursing service.
出处 《中国实用护理杂志》 北大核心 2009年第9期1-4,共4页 Chinese Journal of Practical Nursing
基金 广州市卫生局科研基金资助项目(2005A020).
关键词 患者安全 流程重组 口服给药 Patient safety Process reengineering Oral medication
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