采用六西格玛方法缩短PIVAS临时医嘱配置时间

发布时间：2018-01-02 05:31

本文关键词：采用六西格玛方法缩短PIVAS临时医嘱配置时间　出处：《中国药房》2016年10期 　论文类型：期刊论文

【摘要】：目的:缩短静脉药物集中调配中心(PIVAS)临时医嘱配置时间,保障患者及时用药。方法:应用六西格玛方法的定义、测量、分析、改善、控制五步法,对我院2015年3月9-22日(改进前)PIVAS临时医嘱工作流程中的各环节耗时进行分析,找出关键控制点,制订相关措施并改进;再次收集分析2015年7月27日-8月9日(改进后)的临时医嘱工作流程中的各环节耗时,评价改进效果。结果:将工作流程中的分配输液批次、核对贴签、配制、复核包装、药品配送等环节耗时总长控制在120 min内确定为质量关键点;通过制订及实施改进信息系统、调整配制顺序及灵活调动人员岗位等各项措施,使改进后前3批临时医嘱的配置总时长分别约为120、98、77 min,与改进前比较分别缩短了约30、50、55 min(P0.05)。结论:我院应用六西格玛方法缩短了临时医嘱配置时长,制订的措施有效、方法可行。
[Abstract]:Objective: to shorten the intravenous drug control center (PIVAS) temporary order allocation time, ensure timely treatment of patients. Methods: the definition, application of Six Sigma Methods of measurement, analysis, improvement and control of five steps in our hospital on March 2015 9-22 (before the improvement) was analyzed by PIVAS temporary medical advice in the working process of each link takes and find out the key control points, formulate relevant measures and improvement; again to collect and analysis the July 27, 2015 -8 9 (improved) time of each link of temporary orders in the process, evaluate the improvement. Results: the distribution of workflow in batches of infusion, check the label, preparing, checking and packaging, drug distribution and other aspects of time the length of control in 120 min to determine the key points of the quality planning and implementation; through the improvement of information system, adjust the preparation sequence and flexible use of personnel and other measures, the temporary orders improved 3 batches of configuration The total duration is about 120,98,77 min, which is shortened by about 30,50,55 min (P0.05) compared with the previous improvement. Conclusion: the application of Six Sigma method in our hospital shortens the allocation time of the temporary physician orders, and the measures are effective and feasible.

【作者单位】：新疆医科大学第一附属医院药学部;山东大学齐鲁医院药学部;
【分类号】：R95
【正文快照】： 六西格玛方法是一种基于统计学的综合质量管理方法,体现了科学管理方法中“以提供服务为中心、以数据和事实驱动管理、关注过程管理”等重要特征[1],与精益管理方法同属综合性质量管理方法。但前者注重消除质量缺陷、消除波动,而后者则侧重效率和快速减少浪费。由于六西格玛方

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