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药物优先:通过改善儿科卫生系统的流程来降低风险
Heidi McNeely1, Sara Mirzaei2, Mohamed Ali3
1Individual Credentialing and Research, American Nurses Association, Silver Spring, MD, USA.
概括
减少自动化药剂柜 (ADC) 药物覆盖对于患者安全至关重要. 一个为期3年的精益六西格玛计划通过有针对性的干预和全系统变革,显著降低了65%的覆盖率.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 药房实践的做法 在药房实践.
- 患者安全 患者安全
背景情况:
- 自动化配药柜 (ADC) 对于药物管理至关重要,但重视增加药物转移,错误和浪费的风险.
- 需要采用多学科的方法来解决ADC重置的复杂性.
研究的目的:
- 为了降低自动化药柜 (ADC) 中的药物覆盖率.
- 识别和解决不适当的ADC药物的根本原因.
- 通过流程改进,实现ADC覆盖率的持续降低.
主要方法:
- 利用精益六西格玛方法论进行流程改进.
- 进行了一项为期3年的倡议,涉及一个多学科团队.
- 实施有针对性的干预措施 (例如,自动发行,电子健康记录纠正) 和全系统变化 (例如,政策更新,教育,数据透明度).
主要成果:
- 药物覆盖率从基线的6.18%降低到对照阶段的2.13%,降低了65% (P < 0.001).
- 最初的有针对性的干预措施导致覆盖率减少29% (P < 0.001).
- 没有报告与该计划相关的可预防的不良药物事件.
结论:
- 精益六西格玛方法有效地确定了药物覆盖的根本原因.
- 一个多学科的流程改进计划实现了ADC药物重置率的显著和持续降低.
- 干预措施涉及技术,过程和文化因素,这些因素有助于覆盖.
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