Construction and application of total quality management system in pharmacy intravenous admixture service
- VernacularTitle:静脉用药集中调配中心全面质量管理体系的构建与应用
- Author:
Baoxia FANG
1
;
Songchao WU
1
;
Jing LIU
1
;
Sicen WANG
1
,
2
;
Fuchao CHEN
1
Author Information
1. Dept. of Pharmacy，Sinopharm Dongfeng General Hospital Affiliated to Hubei University of Medicine，Hubei Shiyan 442008，China
2. School of Pharmacy，Health Science Center，Xi’an Jiaotong University，Xi’an 710061，China
- Publication Type:Journal Article
- Keywords:
pharmacy intravenous admixture services;
total quality management;
quality improvement;
infusion quality;
safe
- From:
China Pharmacy
2023;34(15):1798-1803
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To establish a total quality management system for pharmacy intravenous admixture services （PIVAS）， in order to promote the standardization， accuracy and rationalization of clinical intravenous infusion. METHODS Based on information system in PIVAS， the management system and quality monitoring items of the whole process before， during and after PIVAS infusion preparation were formulated. The quality control and quality improvement were carried out regularly with quality management tools and methods such as PDCA （plan， do， check， process） cycle， quality control circle， and root cause analysis. The main quality control indexes of PIVAS were retrospectively analyzed before （in 2019） and after PDCA cycle management （in 2020 and 2021）. RESULTS The indexes of quality monitoring in the whole process of PIVAS infusion preparation， such as the score of drug quality management， the drug residue qualification rate and the qualified rate of drug content in infusion， were increased from 92 points， 79%， 86.4% in 2019 to 99 points， 92%， 99.8% in 2021， respectively. The indexes of safe and rational drug use， such as the ratio of intravenous irrational medical orders， the rate of drug repercussion， the rate of antibiotics use， and the rate of TCM injection use decreased from 0.98%， 6.1%， 40.55%， 39.70% to 0.23%， 3.2%， 37.18%， 26.00%， respectively. CONCLUSIONS The established total quality management system for PIVAS can improve the quality management level in the infusion preparation process， improve the quality of infusion preparation and promote clinical safe and rational drug use.
