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通过可追溯性数字化和RFID技术实施来确保化疗电路的顺序风险和影响分析
Kimberley Lefèvre1, Amélie Andrieu1, Amandine Lassalle1
1Pharmacotechnie, CHD Vendée, La Roche-Sur-Yon, France.
概括
在化疗中实施条形码和RFID技术显著减少了药物错误,并提高了患者的安全. 风险分析和影响评估对于成功,安全地改变化疗过程至关重要.
科学领域:
- 医疗保健信息学 医疗保健信息学
- 患者安全 患者安全
- 药物管理 药物管理
背景情况:
- 细胞毒药物具有高风险,需要强有力的药物管理,以防止错误和提高患者安全.
- 信息技术,包括用于化学疗法袋的条形码和射频识别 (RFID),在医疗保健中越来越多地使用.
- 本研究分析了这些技术对化疗过程的影响.
研究的目的:
- 分析条形码和RFID技术对化疗过程的先验影响.
- 识别和减轻与这些技术实施相关的风险.
- 评估控制措施在提高化学疗法期间患者安全方面的有效性.
主要方法:
- 在组织转型的三个阶段进行顺序风险分析:初始,计算机化和RFID安全.
- 进行SWOT (优势,弱点,机遇,威胁) 分析,以确定流程的漏洞.
- 故障模式和影响分析 (FMEA) 定义纠正行动和影响分析,以优先考虑瓶和评估控制措施.
主要成果:
- 在实施阶段,SWOT分析确定了弱点和威胁.
- FMEA分析了56种故障模式,条形码的实施减少了50%的不可接受风险,RFID减少了71%的风险.
- 影响分析强调了九个部署瓶,包括处方支持和系统配置.
结论:
- 顺序风险和影响分析促进了化疗回路的复杂转变,确保了关键部署阶段.
- 这种方法可以逐步确定风险优先级,调整战略,及早识别漏洞.
- 未来的重点将是解决与活动中断相关的风险,例如系统故障和网络攻击,这些风险因工作非物质化而加剧.
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