环节控制结合PDCA策略在化学治疗药物静脉配置质量提升中的作用OA
Effect of link control combined with PDCA strategy in improving the quality of intravenous allocation of chemotherapy drugs
目的 讨论环节控制结合PDCA策略在化学治疗(简称"化疗")药物静脉配置质量提升中的作用.方法 将常州市中医医院静脉用药集中调配中心2021 年4 月至2022 年4 月实施常规化疗药物配置管理模式设置为对照组,2022 年5 月至2023 年5 月实施环节控制结合PDCA策略管理模式设置为观察组.比较2 组管理模式的应用效果.结果 观察组医嘱审核、药物摆放、配药的时间及用药周期均较对照组短(P均<0.05);观察组工作人员的理论知识及操作技能评分均高于对照组(P均<0.05),且2 组的上述评分均较实施前升高(P均<0.05);观察组配药差错总发生率明显低于对照组(P<0.05);观察组的配药质量、药物使用效果、药物安全性和药物可追溯性各项评分均明显高于对照组(P均<0.05).结论 环节控制结合PDCA策略能明显提升化疗药物静脉配置中的药物配置效率,提升工作人员的操作能力和配药满意度,减少配药差错的发生.
Objective To evaluate the effect of link control combined with the PDCA strategy in improving the quality of intravenous allocation of chemotherapy drugs.Methods The routine allocation management model of chemotherapy drugs implemented by the Pharmacy Intravenous Admixture Services of Changzhou Hospital of Traditional Chinese Medicine from April 2021 to April 2022 was set as the control group,and the link control combined with the management model using PDCA strategy implemented from May 2022 to May 2023 was set as the observation group.The application effect of two management models were compared.Results Compared to the control group,the observation group exhibited shorter medical order review,medication placement,dispensing time,and medication cycle(P<0.05)and higher scores of the theoretical knowledge and operational skills(P<0.05).Moreover,the above scores of both groups increased compared to pre-implementation(P<0.05).The overall incidence of dispensing errors in the observation group was significantly lower than that in the control group(P<0.05).The scores of medication quality,drug efficacy,drug safety,and drug traceability were significantly higher in the observation group(P<0.05).Conclusion The combination of link control and PDCA strategy in the intravenous allocation of chemotherapy drugs can significantly improve the efficiency of drug allocation,enhance the operational ability and satisfaction of staff,and reduce the occurrence of dispensing errors.
周文文;杨婕;池瑛
常州市中医医院,江苏 常州,213003常州市中医医院,江苏 常州,213003常州市中医医院,江苏 常州,213003
临床医学
化疗药物静脉配置环节控制PDCA策略药物配置效率配药差错
intravenous allocation of chemotherapy drugslink controlPDCA strategyefficiency of drug allocationdispensing error
《中西医结合护理(中英文)》 2025 (3)
165-168,4
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