頁籤選單縮合
題名 | 六標準差改善醫令系統處方品質=Applying 6σ Quantitative Technique to Improve the CPOEs |
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作者 | 陳華鑫; 盧冠宇; 曾司旭; 吳嘉興; 陳鎮揮; | 書刊名 | 藥學雜誌 |
卷期 | 29:3=116 2013.09[民102.09] |
頁次 | 頁122-126 |
分類號 | 418.81 |
關鍵詞 | 六標準差; 資訊系統瀕誤事件; 危害指數; |
語文 | 中文(Chinese) |
中文摘要 | 目的:運用六標準差 (6σ; 6-sigma) 品質改善工具降低資訊系統造成的住院處方瀕誤事件,提升住院病人用藥安全。 方法:參考麥格羅.希爾「六標準差流程管理簡單講」之六標準差步驟,就藥事作業流程來界定醫師開處方的需求、收集數據、分析問題、對策擬定、標準化。 結果:研究期間為2012年1月至2012年9月,依六標準差步驟針對住院處方資訊系統瀕誤事件進行改善。在2012年5月改善措施介入後,其住院處方資訊由2012年第1季的4.5個標準差提升至第3季的5.4個標準差,改善成效提升了0.9個標準差。此外,專案小組針對改善前後的資訊系統瀕誤事件類型進行危害指數評量,其危害指數均由改善前的8分下降至改善後的1-2分。 結論:從我們的研究得知,運用六標準差品質改善工具,能有效的改善資訊系統造成的住院處方瀕誤事件,並提升住院病人用藥安全。 |
英文摘要 | Objective: Applying six sigma quantitative improvement technique to decrease the prescription events attributed to informative system in hospital and to increase the patient safety of hospital. Methods: In this study, we referred the six sigma process of 「What is Sigma Process Management?」which published in Mcgraw-Hill, and took the processes of six sigma to improve the quality of targeted procedures, the steps are as following: (1) defining the physician demand; (2) collecting problems; (3) analyzing problems; (4) improving problems; and (5) standardization. Results: We have focused on the near miss of CPOEs for inpatient prescription to improve by six sigma process management during January to September, 2012. The incidence rate of near miss for inpatient CPOEs was improved, as being measured in six sigma quantitative technique, from 4.5σ to 5.4σ, it had been risen for totally 0.9σ improvement after intervening improvement strategy on May 2012. In addition, the variation of hazard index was also significantly improved, which was decreased from 8 to 1-2 by evaluating them according to the types of near miss. Conclusions: Six sigma quantitative technique is an effective tool for quality improvement, in our study, we had shown that the near miss of inpatient CPOEs could be effectively improved by using this tool, thus the patient safety of inpatient could also be improved. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。