优化药物工作流程以改善儿童医院单位的及时药物管理:质量改进项目
John C Standish1, Laura Chapman2, Ohsha Cloyd1
1Department of Pharmacy (JCS, OC), Akron Children's Hospital, Nursing (KJ, KM, KF), Akron Children's Hospital, Quality (CG, MB), Akron Children's Hospital, Akron, OH.
概括
改善药物工作流程显著减少了73%的错过剂量请求,防止了近1,000剂量,节省了超过61,000美元. 这项质量改善计划提高了患者的安全性,减少了浪费.
科学领域:
- 改善医疗保健质量 改善医疗保健质量
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 低效的药物工作流可以导致药物和劳动力浪费.
- 优化这些工作流程对于患者安全和及时护理至关重要.
- 这项研究的重点是儿科医疗外科病房.
研究的目的:
- 为了比较缺失剂量请求率在药物治疗前和药物治疗后的工作流改善.
- 量化减少药物和劳动力浪费的数量.
- 评估工作流改善的财务影响.
主要方法:
- 一个为期6个月的24床儿科病房质量改进项目 (2022年5月至10月).
- 利用改善模式的方法来识别和实施干预措施.
- 每周追踪每100剂缺失剂量请求,员工时间和药物费用.
主要成果:
- 错过剂量请求从每100剂发放的剂量中从3.8减少到1.03 (减少了73%) .
- 估计有988个缺失剂量被防止,节省了61,038.64美元的浪费.
- 对药剂师,技术人员和护士来说,节省了大量的时间.
结论:
- 住院药物工作流程的多模式改进有效地减少了错过的药物错误.
- 工作流的改进带来了巨大的成本节约和提高了劳动力效率.
- 优化药物处理过程提高了整体患者护理和资源管理.
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