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品管圈提高儿童口服片剂分剂量准确率的实践与探索
赵宇洋,方园园,王燕,沈思敏,骆腾
0
(南京医科大学附属无锡儿童医院,江苏无锡 214002)
摘要:
目的:提高儿童口服片剂分剂量的准确率,保障临床用药的安全性与有效性。方法:基于品管圈活动,分析探索存在的问题与可行的改进措施,采用PDCA循环流程,通过比较分析品管圈活动前后片剂分剂量的准确率评价改进方法并制订规范化作业书。结果:分剂量过小和操作不规范是导致儿童口服片剂分剂量差错的主要原因,采用磨粉分装与规范化操作培训考核后,分剂量准确率由80.0%提高至95.0%。结论:开展品管圈活动可以解决分剂量准确率较低的问题,通过磨粉分装与规范化操作培训考核可以提高儿童口服片剂分剂量的准确率,保障临床用药的安全性与有效性。
关键词:  分剂量  儿童  口服片剂  品管圈
DOI:doi:10.13407/j.cnki.jpp.1672-108X.2022.12.005
基金项目:无锡市卫生健康委科技成果与适宜技术推广项目,编号T202012。
Practice and Exploration of Quality Control Circle in Improving Accuracy of Split Use of Oral Tablets in Children
Zhao Yuyang, Fang Yuanyuan, Wang Yan, Shen Simin, Luo Teng
(Wuxi Children’s Hospital Affiliated to Nanjing Medical University, Jiangsu Wuxi 214002, China)
Abstract:
Objective: To improve the accuracy of split use of oral tablets in children and ensure the safety and effectiveness of the clinical medication. Methods: Based on the quality control circle activities, the existing problems were analyzed and possible improvement measures were proposed, the PDCA cycle practice was adopted to evaluate the improvement methods by comparing and analyzing the accuracy of split use of oral tablets in children before and after improvement, and standardized workbooks were formulated. Results: The main causes of errors in split use of oral tablets in children were low split dose and non-standard operation. After using powdered packaging and standardized operation training and assessment, the accuracy rate of split use of oral tablets increased from 80.0% to 95.0. Conclusion: The implementation of quality control circle activities can solve the problem of low accuracy of split dose. The accuracy of split use of oral tablets in children can be improved by powdered packaging and standardized operation training and assessment, so as to guarantee the safety and effectiveness of the clinical medication.
Key words:  split dose  children  oral tablets  quality control circle

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