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| 某儿童医院住院医嘱合格率管理的质量改进项目监测分析 |
| 王紫洁,张海霞,杨智,向晓琴,刘思凡,喻娅婷,周沁,赵昕 |
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| (湖南省儿童医院,长沙 410007) |
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| 摘要: |
| 目的:调查湖南省儿童医院住院患儿不合格医嘱情况,分析原因及质量改进项目监测(PDCA 循环管理)在住院医嘱合格率 管理中的应用,为促进临床安全合理用药提供参考。 方法:以“提高住院医嘱合格率”为质量改进项目,减少和消除住院医嘱开具 和执行时可能出现的用药差错和其他错误。 结果:我院住院医嘱合格率最低时为 96. 8%,在药学部处方审核的督导下,住院医嘱 合格率逐步提升,大部分科室住院医嘱合格率达到目标值 99. 0%,PDCA 循环管理应用于提高住院医嘱合格率在我院切实可行。 结论:我院运用 PDCA 循环管理提高住院医嘱合格率质量改进项目使住院医嘱开具和执行更规范,保障了患儿的用药安全。 |
| 关键词: 医嘱合格率 PDCA 循环 儿科 持续改进 处方审核 |
| DOI：10.13407/j.cnki.jpp.1672-108X.2023.12.006 |
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| 基金项目: |
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| Monitoring of Quality Improvement Project for Qualified Rate Management of Inpatient Medical Orders in a Children’s Hospital |
| Wang Zijie, Zhang Haixia, Yang Zhi, Xiang Xiaoqin, Liu Sifan, Yu Yating, Zhou Qin, Zhao Xin |
| (Children’ s Hospital of Hunan, Changsha 410007, China)) |
| Abstract: |
| Objective: To investigate the status and causes of unqualified inpatient medical orders in Children’ s Hospital of Hunan, analyze the application of quality improvement project monitoring (PDCA cycle management) in the management of qualified rate of inpatient medical orders, so as to provide reference for promoting safety and rational drug use in clinics. Methods: The quality improvement project focused on “improving the qualified rate of inpatient medical orders” for reducing and eliminating medication errors and other mistakes that may occurred during the prescription and execution of inpatient medical orders. Results: The lowest qualified rate of inpatient medical orders in our hospital was 96. 8%. Under the supervision of prescription review in department of pharmacy, the qualified rate of inpatient medical orders increased, and the qualified rate of inpatient medical orders in most department reached the target value of 99. 0%. The implementation of PDCA cycle management for improving qualified rate of inpatient medical orders in our hospital was indeed feasible. Conclusion: The application of PDCA cycle management in our hospital has effectively improved the quality of qualified rate of inpatient medical orders, leading to more standardized prescription and execution of inpatient medical orders and ensuring the medication safety for children |
| Key words: qualified rate of medical orders PDCA cycle pediatrics continuous improvement prescription review |
