目视管理在肿瘤专科医院静脉药物配置中心的应用

发布时间：2018-06-08 22:26

本文选题：目视管理 + 肿瘤医院　；参考：《中国药房》2015年07期

【摘要】：目的:介绍目视管理在肿瘤医院静脉药物配置中心(PIVAS)的应用情况,为提升PIVAS管理水平提供参考。方法:对我院PIVAS目视管理的内容进行实例介绍,通过分组对照方法对比评价应用目视管理培训方法缩短实习生平均培训上岗周期的效果;采用回顾性分析和前后对照的研究方法分析2012年和2013年单批次药品平均调剂时间等10个关键质量控制指标数据,评价我院PIVAS质控岗、药品管理岗等9个岗位自2013年开始实施目视管理后的应用效果。结果与结论:我院PIVAS将看板、颜色区分、标识等目视管理工具应用到日常管理工作中;通过采用目视管理上岗前培训方法,实习生对药品管理岗、审方岗等4个岗位培训后平均上岗时间降低了10.0%~38.1%(P0.05),显著提高了各个岗位的工作效率。与目视管理前比较,管理后单批次药品平均调剂时间、洁净区菌检合格次数等10项关键质量控制指标提升了15.4%~100%(P0.05),各个环节差错率明显降低,工作规范程度和工作区环境整洁度提高,最大限度地避免了药品配送错误以及不同批次药品混放情况的发生。PIVAS有效运用目视管理可提高其管理水平。
[Abstract]:Objective: to introduce the application of visual management in intravenous drug allocation center of tumor hospital and to provide reference for improving the management level of PIVAS. Methods: the contents of visual management of PIVAS in our hospital were introduced, and the effect of applying visual management training method to shorten the average training period of trainee was evaluated by comparing and comparing the methods of grouping and contrast. The data of 10 key quality control indexes, such as the average dosing time of single batches of drugs in 2012 and 2013, were analyzed by retrospective analysis and comparison before and after, and the PIVAS quality control post was evaluated in our hospital. Drug management post and other nine posts since 2013 to implement visual management after the application of the effect. Results & conclusion: PIVAS applied visual management tools such as Kanban, color differentiation, marking, etc. After training, the average working time of four posts was reduced by 10.0%, 38.1% and P0.05%, and the working efficiency of each post was improved significantly. Compared with before visual management, 10 key quality control indexes, such as the average dispensing time of single batch of drugs after management, the number of times of bacterial examination in clean area, and so on, were increased by 15.44% 100% and P0.05%, and the error rate of each link was obviously reduced. The standard degree of work and the neatness of the working area can be improved to the greatest extent to avoid the mistake of drug distribution and the occurrence of mixed release of different batches of drugs. PIVAS can improve the management level by using visual management effectively.
【作者单位】：天津医科大学肿瘤医院/国家肿瘤临床医学研究中心/天津市肿瘤防治重点实验室;
【分类号】：R95

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