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| 題 名 | 降低某地區醫院急診針劑破損率=Decreasing the Emergency Injection Medication Broken Ratio at a Community Hospital |
|---|---|
| 作 者 | 廖玲嬋; | 書刊名 | 藥學雜誌 |
| 卷 期 | 35:1=138 2019.03[民108.03] |
| 頁 次 | 頁127-131 |
| 分類號 | 419.27 |
| 關鍵詞 | 品管圈; 品質改善; 針劑; |
| 語 文 | 中文(Chinese) |
| 中文摘要 | 目的:急診針劑破損是臨床工作上常見的問題,本文欲探討可否藉由品管圈活動 做為解決臨床問題的方法,並驗證其效果。 方法:分析本科2016年7月統計數據後,發現急診針劑破損率為1.5%,故藥局 成立品管圈欲降低破損率。檢視破損原因,以柏拉圖分析後發現「藥物調劑包裝不 完整」、「領藥者警戒心不足」為問題要因,據此擬定對策措施,並利用 Plan-Do- Check-Action 手法進行對策檢討和效果確認。 結果:對策實施後,破損率由改善前1.5%,下降至0%(目標值為0.9%),目標達成 率為250%、進步率為100%,顯示運用品管圈的改善方法效果良好,據此制定「急診 針劑調劑作業標準書」以建立標準化作業流程。 結論:利用品管圈手法,改善急診針劑調劑作業流程,除減少急診針劑破損率、 提升工作人員滿意度外,推動小組在品管手法運用、活動信心及責任榮譽方面,亦有 顯著進步。 |
| 英文摘要 | Objectives:Emergency injection damage is a common problem in the routine clinical practice.This study investigated the efficacy of implementation of a quality control circle(QCC) to decrease the emergency injection medication broken ratio. Methods: Data collected from July 2016 were analyzed, and the results revealed that up to 1.5% of emergency damaged injections.Thus,a QCC was established to decrease the broken ratio.Through Pareto analysis, the QCC identified that “Incomplete drug packaging” and “lack of vigilance” were the root causes of damage.Accordingly,the QCC formulated solutions,which were subsequently verified by the Plan-Do-Check-Action. Results: Countermeasures implemented,improved from 1.5% decreased to 0% (target value 0.9%), goal achievement was 250%, and progress was 100%. It showed the use of QCC method works well.Finally, to standardize related procedures, a standard operation procedure (SOP) was formulated. Conclusion: This program helps our hospital to improve medication supply process at the emergency. It reduces the emergency injection medication broken ratio and enhances employee satisfaction. Therefore, this program is a useful strategy to improve medication management. |
本系統中英文摘要資訊取自各篇刊載內容。