Rationality of Medical Orders for Industrialized Three-Chamber Bags Improved by PDCA Combined with Pareto Diagram in a Hospital
Objective To improve the rationality of medical orders for industrialized three-chamber bags in one hospital using the PDCA method combined with a Pareto diagram.Methods According to the expert consensus and related literature,15 evaluation criteria were established to analyze the rationality of all medical orders for industrialized three-chamber bags in 2021.The main problems were identified via a Plato diagram before countermeasures were recommended.Results In 2021,the percentage of standard medical orders for industrialized three-chamber bags in the hospital was 60.50%.The main problem was the overdose of N(2)-L-alanyl-L-glutamine injection,accounting for 38.41%of all medical orders and 96.38%of improper medical orders.The ward where interventions were needed most was the first ward of gastrointestinal surgery.After interventions,the percentage of proper medical orders for industrialized three-chamber bags increased to 67.79%in the first half of 2022.However,the biggest problem still lay in the excessive usage of N(2)-L-alanyl-L-glutamine injection.The proportion of related medical orders decreased to 30.74%of the total,and the proportion of improper medical orders was 93.38%.The first ward of gastrointestinal surgery remained the most problematic.After adjustment of interventions,the percentage of proper medical orders for industrialized three-chamber bags increased significantly to 96.74%in the second half of 2022,the proportion of overdose of N(2)-L-alanyl-L-glutamine injection in all medi-cal orders decreased to 1.25%,and the proportion of improper medical orders decreased to 38.46%.Conclusion The combination of PDCA with a Pareto diagram can go a long way towards improving the rationality of medical orders for industrialized three-chamber bags in a hospital.
NETL
NSTL
万方数据
