【摘要】：目的:規(guī)范病區(qū)搶救及常備藥品質(zhì)量管理,降低患者的用藥風(fēng)險。方法 :應(yīng)用失效模式與效應(yīng)分析(FMEA)方法對病區(qū)搶救及常備藥品質(zhì)量管理檢查項(xiàng)目和失效模式進(jìn)行分析,通過對失效模式發(fā)生的可能性、嚴(yán)重性和可偵測程度進(jìn)行評分及風(fēng)險優(yōu)先值(RPN)計算,量化并確定應(yīng)優(yōu)先改善的失效模式,制訂改善措施并實(shí)施,并評價實(shí)施6個月后的管理效果。結(jié)果:確定了包括麻醉及一類精神藥品殘液處理情況未記錄、藥品儲存溫度不達(dá)標(biāo)、藥品過期等12項(xiàng)失效模式,制定并實(shí)施了相關(guān)制度、加強(qiáng)檢查管理、冷鏈管理及日常管理等措施;6個月后,RPN值最高的3項(xiàng)由管理前的320、240、216分分別降至16、16、27分,均處于相對低風(fēng)險區(qū)域中;失效模式事件發(fā)生次數(shù)由1 869次降為218次,下降了88.3%。結(jié)論:我院病區(qū)通過應(yīng)用FMEA方法將搶救及常備藥品質(zhì)量管理過程中失效模式加以量化,確定了風(fēng)險最高的管理項(xiàng)目并進(jìn)行改進(jìn),顯著降低了患者用藥風(fēng)險。
[Abstract]:Objective: to standardize the emergency treatment and the quality management of the standing drugs, and to reduce the risk of drug use. Methods: the failure mode and effect analysis (FMEA) method was used to analyze the items and failure modes of rescue and quality management inspection of standing drugs in ward, and the possibility of failure mode was analyzed. The severity and detection degree were calculated by (RPN), the failure modes that should be improved were quantified and determined, the improvement measures were formulated and implemented, and the management effect after 6 months of implementation was evaluated. Results: 12 failure modes, including unrecorded treatment of anaesthesia and residual liquid of a class of psychotropic drugs, substandard storage temperature of drugs and expiration of drugs, were determined, and relevant systems were formulated and implemented to strengthen inspection and management. Cold chain management and daily management measures; Six months later, the three items with the highest RPN value decreased from 320240216 points before management to 16 points, 16 points and 27 points respectively, all of which were in relatively low risk areas, and the number of failure mode events decreased from 1869 to 218, a decrease of 88.3%. Conclusion: the failure mode in the process of rescue and quality management of standing drugs is quantified by FMEA method in our hospital, and the management items with the highest risk are determined and improved, which significantly reduces the risk of drug use.
【作者單位】： 一汽總醫(yī)院藥品管理部;一汽總醫(yī)院臨床藥學(xué)部;
【分類號】：R95

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