Application of PDCA cycle method in intravenous infusion speed management in inpatients
10.3760/cma.j.issn.1008-5734.2015.03.011
- VernacularTitle:PDCA循环法在规范住院患者静脉输液速度中的应用
- Author:
Xiaoxiao LI
1
;
Zhanmiao YI
;
Rongsheng ZHAO
;
Fang LIU
;
Runzhou HUANG
Author Information
1. 100191,北京大学第三医院药剂科
- Publication Type:Journal Article
- Keywords:
Infusions,intravenous;
safety;
PDCA cycles
- From:
Adverse Drug Reactions Journal
2015;(3):209-213
- CountryChina
- Language:Chinese
-
Abstract:
Objective To explore application value of PDCA cycle method in intravenous( IV ) infusion speed management in inpatients. Methods Patients hospitalized in the 2nd ward of Department of Neurology,Peking University Third Hospital were selected as subjects and IV infusion speed standards were drown up using a quality improvement management,Plan-Do-Check-Action( PDCA)cycle method. Before and after the management,data related to IV infusion speeds from May 20th to 26th,2013( before management)and May 12th to 18th,2014( after management)and adverse drug reactions/events( ADR/ADE)evaluated absolutely,probably,or possibly related to drugs from August 2012 to May 2013( before management)and August 2013 to May 2014( after management)were collected,the qualified rates of IV infusion speeds and ADR/ADE rates were calculated. Results There were 40 beds of ward of department of Neurology. During May 20th to 26th ,2013,33 kinds of injections were used in patients(255 person-time),and 11 kinds of injections( belonged to 7 types,184 person-time)were selected as pilot injections for IV infusion speed management. The qualified rates of IV infusion speed were 82. 4%-100. 0% and the average IV infusion speed was 94. 6% ± 6. 7%. During May 12th to 18th ,2014,39 injections were used in patients(721 person-time). Among them,11 pilot injections were used in patients(483 person-time),the qualified rates of IV infusion speed were 85. 7%-100. 0% and the average IV infusion speed was 96. 6% ± 5. 1%. The qualified rate of IV infusion speed after IV infusion speed management increased than that before 05). A total of 145 cases of ADR/ADE which were evaluated absolutely,probably or possibly related to drugs were collected. Of them,49 cases of ADR/ADE were related to IV infusion speed,including 22 cases before IV infusion speed management(accounted for 36. 1% of 61 cases of ADR/ADE during the same time)and 27 cases after IV infusion speed management(accounted for 32. 1% of 84 cases of ADR/ADE during the same time). As for the ADR/ADE involved in 11 pilot injections, 3 cases occurred before management (accounted for 4. 9% of 61 cases of ADR/ADE during the same time)and 4 cases occurred after management( accounted for 4. 7% of 84 cases of ADR/ADE during the same time). Conclusion Application of PDCA cycle method may improve quality of IV infusion speed management in inpatients and increase medication safety management level.
