Application of FOCUS-PDCA Cycle Management in Reducing the Incidence of Irrational Medical Orders of Parenteral Nutrition
10.6039/j.issn.1001-0408.2017.34.23
- VernacularTitle:FOCUS-PDCA循环管理在降低肠外营养不合理医嘱发生率中的应用
- Author:
Yinli HE
1
;
Qinying LUO
;
Lele DONG
;
Chengsen PANG
;
Huixia LU
;
Yating ZHANG
;
Xiaoxia ZHANG
;
Weihua DONG
;
Shufeng WANG
;
Bingyin WEIYI
;
SHI FENG
Author Information
1. 西安交通大学第一附属医院药学部
- Keywords:
FOCUS-PDCA;
Parenteral nutrition;
Medical order;
Rational drug use
- From:
China Pharmacy
2017;28(34):4842-4845
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE:To reduce the incidence of irrational medical orders for parenteral nutrition,and promote the rational use of parenteral nutrition. METHODS:The medical orders for parenteral nutrition of the first quarter of 2016 in general surgery de-partment of our hospital were collected,and the number and types of its irrational medical orders were summed up. Then FO-CUS-PDCA(Find-organize-clarify-understand-select-plan-do-check-act)cycle management was adopted to analyze and improve the existing problems in issuing medical orders for parenteral nutrition. The improved(the third quarter of 2016)medical orders for par-enteral nutrition were collected,the number and types of its irrational medical orders were summed up,and management effect was evaluated. RESULTS:Establishing nutrition support group,strengthening the training and communication of medical staff,adding prescription evaluation module for parenteral nutrition in hospital information system and a number of measures had made the inci-dence of irrational medical orders for parenteral nutrition in general surgery department declined from 48.25%(1433/2970)before improvement to 5.67%(120/2118)after improvement. The incidences of cation excess,inappropriate selection of drugs and inap-propriate compatibility in irrational types were 0. CONCLUSIONS:FOCUS-PDCA cycle management can reduce the irrational rate of medical orders for parenteral nutrition and promote the rational use of parenteral nutrition in hospital.
