基层医院PIVAS质量管理探讨

发布时间：2018-01-19 10:03

本文关键词： 静脉用药配置中心基层医院质量管理质量控制不合理用药　出处：《中国药房》2015年16期 　论文类型：期刊论文

【摘要】：目的:建立静脉用药配置中心(PIVAS)质量管理体系,不断提高工作质量。方法:比较基层医院与大型综合性医院PIVAS之间的差距,针对这些差距加强关键环节的质量控制,并总结全过程规范化质量管理对工作质量的影响。结果:与大型综合性医院相比,我院PIVAS存在药学人员配备少、药学专业知识缺乏、配制技术不熟练等不足,对此采取了科内讲座等多种形式的培训活动、建立审方过程的有效监督和考核机制、带教学习及建立员工配制能力评价体系、建立各岗位工作的巡查机制等措施。实施全过程规范化质量管理后,我院静脉配置合理用药水平明显提高,2013年11月、2014年7月不合理用药发生率分别为23.93?、8.70?;各种内部差错和出门差错明显减少,2013年10月、2014年7月内部差错发生率分别为14.08?、3.15?,出门差错发生率分别为1.65?、0.083?。结论:我院PIVAS建立的质量管理体系切实可行,可明显提高PIVAS的工作质量,保障患者静脉用药安全。
[Abstract]:Objective: to establish the quality management system of intravenous drug allocation center (PIVASS) and improve the working quality continuously. Methods: to compare the gap between primary hospital and large general hospital PIVAS. In view of these gaps, we should strengthen the quality control of key links, and summarize the effect of standardized quality management in the whole process on the quality of work. Results: compared with large general hospitals. There are some problems in PIVAS, such as the shortage of pharmacy personnel, the lack of pharmaceutical professional knowledge and the unskilled preparation technology, etc. The Kone lecture and other kinds of training activities have been adopted in this regard. To establish the effective supervision and examination mechanism of the audit process, the teaching and learning, the establishment of the evaluation system of staff preparation ability, the establishment of the inspection mechanism of various posts, etc. After the implementation of the whole process of standardized quality management. The level of rational use of intravenous drugs in our hospital was significantly improved, and the incidence of irrational drug use in November 2013 and July 2014 was 23.93? ,8.70? The incidence of internal errors in October 2013 and July 2014 was 14.08? ,3.15? , the incidence of errors was 1.65? ,0.083? Conclusion: the quality management system established by PIVAS in our hospital is feasible and can obviously improve the working quality of PIVAS and ensure the safety of intravenous drug use.
【作者单位】：重庆市开县人民医院药剂科;
【分类号】：R95
【正文快照】： *药师,硕士。研究方向:临床药学、循证药学。电话:023-52663037。E-mail:ruiruichunchun@163.com静脉用药配置中心(Pharmacy intravenous admixture ser-vice,PIVAS)的建立保障了静脉用药的配置质量,提高了患者静脉用药的安全性,同时也加强了工作人员的职业防护[1]。目前,拥有

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