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題名 | 利用HFMEA改善首日量補藥率=Using HFMEA Method to Improve Stat Drug Delivery |
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作者 | 莊樹義; 王慧瑜; 鍾宜芹; | 書刊名 | 藥學雜誌 |
卷期 | 28:4=113 2012.12[民101.12] |
頁次 | 頁122-130 |
分類號 | 419.27 |
關鍵詞 | 決策樹; 危害指數; 補缺藥品; HFMEA; |
語文 | 中文(Chinese) |
中文摘要 | 本研究運用醫療照護失效模式與效應分析 (healthcare failure mode and effects analysis;HFMEA),以住院調劑組作業流程作為須檢視之要點,運用 HFMEA二維之危害分析檢視危害指數,結果以「病房藥品配送遺失」危害指數為最高。 分析「住院病人給藥」之主流程與次流程,針對次流程失效模式進行失效原因之分析,並依照決策樹分析結果決定需進行矯正措施之失效原因,繼而進行對策擬定。 補藥改善計劃自 99年9月起陸續採取行動與量測,補藥百分比 (補藥筆數 /當月總調劑藥品筆數,以百分比呈現 )逐月下降,於 99年12月初步已達目標設定值 0.020%。 |
英文摘要 | In this study, healthcare failure mode and effects analysis (HFMEA) was used to view the pharmaceutical dispensing processes. The hazard index derived from two-dimensional hazard analysis of HFMEA was used to check the processes of inpatient drug delivery system, and "drug loss"got the highest score of hazard index. We reviewed all of the processes of the inpatient drug delivery and to find out the processes related to "drug loss", which should be improved preferentially. Analysis of failure reason for all of the processes was done by decision tree analysis, and accordingly to get subsequent policy-making for correcting measures. Aggressive improvement program for reducing supplement of drug loss was introduced since Sep. 2010, monthly supplement rate in percentage (items of supplement / total dispensed items) had been reduced gradually, the preliminary target threshold of 0.020% was achieved in Dec. 2010. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。