基于Delphi法与风险矩阵法的病区药品风险管理实践

发布时间：2018-12-18 03:37

【摘要】：目的:降低病区药品管理风险,保障患者用药安全。方法:以我院病区药品管理风险为研究对象,采用Delphi法对我院病区药品管理风险发生的可能性及后果的严重性进行了风险分析;应用风险矩阵法评价了病区药品管理风险的风险水平;针对风险评估结果采取风险防控措施;运用PDCA(Plan,Do,Check,Action)质量管理工具开展病区药品风险防控工作。结果:确定了"病区药品保存条件""病区药品管理人员专业素质""高危药品管理"为极严重风险,"病区药品有效期管理"为高危险度风险,均属于不可容忍风险等级。运用PDCA开展病区药品风险防控工作后,药品摆放、高危药品管理、药品有效期管理和药品保存条件等方面都得到了较大改善,存在问题的病区数降低了97.1%。结论:综合应用Delphi法、风险矩阵法与PDCA质量管理工具可有效评估医院药品风险并促进病区药品管理的规范化和科学化。
[Abstract]:Objective: to reduce the risk of drug management and ensure the safety of drug use. Methods: the risk of drug management in our hospital was analyzed by Delphi method. Risk matrix method was applied to evaluate the risk level of drug management in the ward, risk prevention and control measures were taken in view of the risk assessment results, and PDCA (Plan,Do,Check,Action) quality management tools were used to carry out the drug risk prevention and control work in the ward. Results: "condition of drug preservation in ward", "professional quality of drug administrators in ward" and "management of high risk drugs" were determined as very serious risks, and "management of effective period of drugs in ward" as high risk, all of which were classified as intolerable risk grades. After the use of PDCA to carry out drug risk prevention and control in the ward, drug placement, high risk drug management, drug validity management and drug preservation conditions have been greatly improved, and the number of areas with problems has been reduced by 97.1. Conclusion: comprehensive application of Delphi method, risk matrix method and PDCA quality management tools can effectively evaluate hospital drug risk and promote standardization and science of drug management in ward.
【作者单位】：中日友好医院药学部;
【分类号】：R95

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