PDCA循环在住院患者口服药非安全发放中的应用.pdfVIP

护理实践与研究 2016 年第 13 卷第 1 期 ? 13 . PDCA 循环在住院患者口服药非安全发放中的应用 杨翠萍刘晓梅张红 摘 要 目的:探讨运用 PDCA 循环降低住院患者口服药非安全发放的效果。方法:采用 PDCA 循环 4 个阶段、 8 个步骤对我院内科 10 个病区 住院患者口服药非安全发放较多进行原因分析，运用鱼骨图分析法找出医嘱录入与执行中存在缺陷与服药相关硬软件不完善是住院患者 口服药非安全发放较多的主要原因，针对要因制定、实施对策，检讨和效果确认，对于效果明显的措施实行标准化。结果:内科 10 个病区住院患 者口服用药非安全发放改善前与改善后相比差异有统计学意义 (P0.05) 。结论 :PDCA 循环能够充分了解住院患者口服药非安全发放较多的 原因，从而制定了有针对性、护士能力范围的措施，明显降低了内科 10 个病区住院患者口服药非安全发放例数，提高了患者遵医服药的依从性 及口服用药知识的知晓度，从而达到知情同意、主动配合、有效治疗的目的，确保患者口服用药的安全性。 关键词 PDCA 循环;住院患者;口服药;非安全发放 doi:l0. 3969/j. issn.1672 -9676.2016.01.005 Application etTects of PDCA circuIation in the non - safety deliver of oral medicines for inpatients YANG Cui - ping, LIU Xiao - mei , ZHANG Hong( Tongzhou District Hospital of Nantong City ,Nantong 226300) Abstract Objective: To explore the effect of PDCA circulation on reducing the non - safety deliver of oral medicines for inpatients. Methods: PDCA circula? tion were used to analyze the reasons for the large amount of non - safety deliver of oral medicines for inpatients in the 10 wards in the internal medicine in our hospital , the fishbone diagram analysis was used to find out that the defects in the ent可 and implementation of the doctors advice and imperfections in the hardware and software related to medicine were the main reasons for the large amount of non - safety deliver of oral medicines for inpatients. We have made and implemented countermeasures for the main reasons , made reviews and confirmed the effects , and applied standardization for the me脑ures with ob? vious effects. Results: The differences before and after the improvement in lh