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品管圈在降低静配中心药品混合调配残余率的应用

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目的 降低静配中心药品混合调配残余率.方法 按照品管圈十大步骤法,分析静配中心调配残余率原因,探讨对策并组织实施,进行效果评价,制订标准.结果 静配中心药品混合调配残余率偏高主要由难溶性药物溶解不全、微量药液抽吸不净、缺乏督查机制等原因产生.针对以上原因,制订根据药品性质及西林瓶大小选用适宜初溶液量、定期抽查考核调配人员操作、不定期抽查调配药液残余量情况,定期考核等相关整改措施.改善后静配中心药品残余率由39.03%降至14.00%,制订的标准化保证了静配中心混合调配的平稳运行;通过本次品管圈活动,解决了日常工作中存在的问题,巩固了品管圈方法的运用,各圈员之间加强了参与、协作与集体荣誉感.结论 运用品管圈手段降低静配中心药品残余率的方法可行,可为静配中心药品混合调配残余率管理工作提供参考.
Application of quality control circle in reducing the residual rate of drug dispensing in pharmacy intravenous admixture services
Objective To reduce the residual rate of drug dispensing in pharmacy intravenous admixture services(PIVAS).Methods In accordance with the ten steps of quality control circle(QCC),we analysed the reasons for the residual rate of PIVAS,explored the counter measures and implementation,evaluated the effect and developed standards.Results The high residual rate of drug dispensing in PIVAS was mainly caused by incomplete dissolution of certain drugs,incomplete suction of minute quantities of drugs,and the lack of supervision.Accordingly,PIVAS formulated corrective measures such as selecting suitable solvents based on drug properties,regular spot checks on operations of related staff,randomly checking the residual amount of the dispensed drugs,and regular training and assessment.The residual rate of drugs in PIVAS was reduced from 39.03%to 14.00%after the counter measures,and standard workflow was developed to ensure the smooth operation of QCC.Through QCC,the daily problems were solved,and the use of QCC,the participation,and collaboration were strengthened among the team members.Conclusion The use of QCC to reduce the residual rate of drugs in PIVAS is feasible and provides reference for managing the residual rate of drug dispensing.

quality control circlepharmacy intravenous admixture servicesdrug dispensingresidual rate

骆晶晶、赵光瑞、蔡文、翟晓宇、王亚、乔岩

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南京鼓楼医院集团宿迁医院药学部,江苏 宿迁 223800

品管圈 静配中心 药品混合调配 残余率

2024

中南药学
湖南省药学会

中南药学

CSTPCD
影响因子:0.736
ISSN:1672-2981
年,卷(期):2024.22(10)