基于质量风险管理 (QRM) 的 PIVAS风险评估和控制策略的研究
Qining Qiu1,2, Guohong Zhu2, Gang Peng1
1Zhongshan Hospital (Xiamen), Fudan University, Xiamen city, Fujian, China, 361015.
Exploratory research in clinical and social pharmacy
|September 3, 2024
概括
在医院药房内静脉混合服务 (PIVAS) 中实施质量风险管理 (QRM) 系统显著减少了药物错误和准备时间. 这提高了患者安全和服务效率.
科学领域:
- 药房实践 在药房实践.
- 改善医疗保健质量 改善医疗保健质量
- 医疗保健中的风险管理
背景情况:
- 医院药房静脉注射添加剂服务 (PIVAS) 对于患者护理至关重要,但面临着固有的风险.
- 有效的风险管理对于确保药物安全和PIVAS的运营效率至关重要.
研究的目的:
- 评估质量风险管理 (QRM) 系统对PIVAS的绩效的影响.
- 量化评估QRM实施后在安全,效率和员工满意度方面的改进.
主要方法:
- 利用故障模式和影响分析 (FMEA) 和风险矩阵来识别PIVAS中的关键风险点.
- 从2019-2023年收集和分析关键绩效指标 (KPIs),比较QRM实施前后数据.
主要成果:
- 药物错误率从3.2%降至1.1% (p < 0.001).药物错误率从3.2%降至1.1% (p < 0.001).药物错误率从3.2%降至1.1% (p < 0.001).药物错误率从3.2%降至1.1% (p < 0.001).药物错误率从3.2%降至1.1% (p < 0.001).
- 平均药物准备时间从15.5分钟减少到8.2分钟 (p < 0.001).
- 员工满意度从6.0增加到8.5分 (p<0.001),交叉污染和处理错误的情况有显著改善.
结论:
- 系统的QRM实施明显提高了PIVAS的运营性能.
- QRM有效地减少了药物错误,并提高了医疗保健的整体质量和生产力.
- 该研究提供了支持在其他医疗保健机构采用QRM的经验证据,以确保药物安全.
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