摘要
目的:分析开展品管圈活动对降低静脉用药配制中心(PIVAS)不合理用药医嘱发生率的原因及其干预对策,为PIVAS合理用药提供参考。方法:抽取2013年1—5月间(活动前)和2013年6—12月间(活动后)不合理医嘱,按照品管圈规则,分析PIVAS不合理用药医嘱,比较活动前后不合理用药医嘱的相关数据,探讨并拟定对策,加以实施,评价成果并进行持续改进。结果:PIVAS不合理用药医嘱发生的主要类型有溶媒选择不适宜、用法用量不当和存在配伍禁忌等,制定6项对策实施改进后,不合理用药医嘱例数由每周9.60例降至7.04例(P<0.05)。结论:开展品管圈活动有效降低了PIVAS不合理用药医嘱的发生率,促进患者用药的安全性。
Objective:To analyze the reasons for reducing the incidence of doctors’ orders for irrational use of PIVAS by carrying out quality control circle(QCC) activities, and to provide a reference for rational use of PIVAS. Methods:Unreasonable medical orders were selected from January to May 2013(before the activity) and June to December 2013(after the activity). According to the QCC rules, the unreasonable medication orders of PIVAS were analyzed. The relevant data of unreasonable medication orders before and after the activity were compared. The countermeasures and their implementation were discussed and formulated;the results were evaluated and the continuous improvement was made. Results:The main types of PIVAS unreasonable medication orders were inappropriate solvent selection, improper usage and dosage, incompatibility, etc. After the development of 6 countermeasures to implement the improvement,the number of cases of unreasonable medication orders decreased from 9.60 cases per week to 7.04 cases(P<0.05). Conclusion:It could effectively reduce the incidence of unreasonable medication orders for PIVAS using QCC activities;the safety of medication for patients was promoted.
作者
姜朋飞
王彩琴
JIANG Peng-fei;WANG Cai-qin(Children's Hospital Affiliated to Zhengzhou University, Zhengzhou 450012, China He'nan Children's Hospital and Zhengzhou Children's Hospital, Zhengzhou 450012, China)
出处
《抗感染药学》
2019年第2期217-219,共3页
Anti-infection Pharmacy
