Application of FOCUS-PDCA Model in Reducing Error Rate of Automatic Pharmacy Intravenous Admixture Service
OBJECTIVE To explore the application and effectiveness of FOCUS-PDCA management tool on re-ducing the error rate of automatic Pharmacy Intravenous admixture Service(PIVAS).METHODS Based on the re-search background of PIVAS errors from January to December 2022 with the application of automatic equipment,a quality control group was set up according to the FOCUS-PDCA management model to find out the causes of errors with the help of flowchart,plato,fishbone diagram and other tools,and an improvement plan was drawn up to reduce the error rate.The error rate of each link after intervention was measured from January to December 2023,and the management effectiveness was evaluated.RESULTS After the implementation of FOCUS-PDCA cycle,the total er-ror rate decreased from 0.48‰ to 0.23‰,a decrease of 52.08%.Dispensing error decreased from 0.21‰ to 0.08‰,labeling error decreased from 0.14‰ to 0.08‰,and sorting error decreased from 0.07‰ to 0.03‰,all of them have statistical significance(P<0.05).CONCLUSION The FOCUS-PDCA management tool is effective in reducing the error rate of automatic PIVAS,which is helpful to improve the quality and safety of infusion,and pro-vides a basis for further standardizing the construction of automatic Pharmacy Intravenous admixture Service.