154.PIVAS全过程差错分析及质量持续改进.pdf

PIVAS全过程差错析及持续改进

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悦，红领，李静，李靖，李星*

中人民解放军州总院，甘肃州，730050

摘要静脉用药调配中心PIVAS产生差错的节多种类复杂，各节

互相牵制互相影响们在常工作中形了一套高效规全面的差错统计模式

——跟踪PIVAS工作全过程各节，进行全面的数据统计析累托确定

各节要矛盾鱼骨析原因等，并进入到PCDA循模式能够提供

更完整的差错数据，使持续改进工作更据循制定的解决方案更

实靠各节突出题协改进，更利于少差错提高工作效率，保障

临床用药的安全性合理性

关键词静脉用药调配中心PIVAS差错析PCDA循持续改

进

Erroranalysisandqualitycontinuousimprovementin

wholeprocessofPIVAS

LiuYue,XiHongling,LiJing,LiJing,FengXia,LiMaoxing

(LanzhouGeneralHospitalofPLA，LanzhouGansu730050)

[Abstract]TheerrorsofPharmacyIntravenousAdmixtureServices(PIVAS)are

complicated.Itcantakeplaceinmanyprocedureswhicharecloselyinterrelated.We

builtasetofefficientandcomprehensivepatterntocountandanalyzetheseerrorsin

ourdailywork.Traceandsupervisealltheprocessesandeveryprocedure.Efficient

andcomprehensivestatisticalanalysisofdatabymeansofParetochart,Fishbone

figureandsoon.ThenbyusingofPDCAcycletocontinuouslyimprovethequality.

Thispatternmakesthequalitycontinuousimprovementmorejustifiedandthe

solutionsmorereliablebyprovidingmorecompletedataoferrors.Solvingthe

outstandingproblemsineachproceduretogetherismoreconducivetoreducingerrors

andimprovingworkefficiency.Itensuresthesafetyandrationalityoftheuseofdrugs

1[第一作者]悦，女，药师研究方向静配中心药学研究电话0931-8994667E-mailyueliu531@163.com.

2[通作者]李星，男，副任药师，副教授研究方向院药学电话0931-8994663E-mail

limaox2005@.

inclinic.

[Keywords]PharmacyIntravenousAdmixtureServices(PIVAS);Analysisof

errors;PDCAcycle;continuedimprovementinquality

PIVAS由于工作节多连接紧密，尤是用药高峰各排药配置等

节工作强较大，易产生差错，差错种类繁多复杂[1]差错登耗时间精

力，传统的登方