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FMEA方法在病区抢救及常备药品质量管理中的应用
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| 篇名： | FMEA方法在病区抢救及常备药品质量管理中的应用 |
| TITLE： | |
| 摘要： | 目的：规范病区抢救及常备药品质量管理，降低患者的用药风险。方法 ：应用失效模式与效应分析（FMEA）方法对病区抢救及常备药品质量管理检查项目和失效模式进行分析，通过对失效模式发生的可能性、严重性和可侦测程度进行评分及风险优先值（RPN）计算，量化并确定应优先改善的失效模式，制订改善措施并实施，并评价实施6个月后的管理效果。结果：确定了包括麻醉及一类精神药品残液处理情况未记录、药品储存温度不达标、药品过期等12项失效模式，制定并实施了相关制度、加强检查管理、冷链管理及日常管理等措施；6个月后，RPN值最高的3项由管理前的320、240、216分分别降至16、16、27分，均处于相对低风险区域中；失效模式事件发生次数由1 869次降为218次，下降了88.3％。结论：我院病区通过应用FMEA方法将抢救及常备药品质量管理过程中失效模式加以量化，确定了风险最高的管理项目并进行改进，显著降低了患者用药风险。 |
| ABSTRACT： | OBJECTIVE： To standardize the ward rescue and essential drugs quality management in wards， and reduce the medication risk of patients. METHODS： Failure mode and effect analysis （FMEA） was used to analyze the inspection items and failure modes of quality management of ward rescue and essential drugs. According to scoring the possibility， severity and detectability degree of the failure modes and calculating the risk priority number （RPN）， failure modes that should be given priority improvement were quantified and determined， improvement measures were developed and conducted， and management effects were evaluated after 6 months. RESULTS： 12 failure modes were determined， including the residue treatment of narcotic and the first-class psychotropic drugs was not recorded， drug storage temperature was not up to standard and drug expired， etc. Improving related systems， enhancing the inspection management， cold chain management， daily management and other measures were implemented and conducted. After 6 months， the top 3 items with the highest RPNs were dropped from 320， 240， 216 score to 16， 16， 27 scores， respectively， all in a relatively low risk area. Numbers of failure mode event were dropped from 1 869 to 218， dropping by 88.3％. CONCLUSIONS： According to qualifying the failure modes in ward rescue and essential drugs quality management by using FMEA in our hospital， the management items with the highest risk has determined and improved， the medication risk of patients has significantly reduced. |
| 期刊： | 2017年第28卷第28期 |
| 作者： | 夏恪迪，王莉梅，宋相梅，吴胜红 |
| AUTHORS： | XIA Kedi，WANG Limei，SONG Xiangmei，WU Shenghong |
| 关键字： | 病区药品；抢救药品；常备药品；失效模式与效应分析；质量管理 |
| KEYWORDS： | Drug in wards； Rescue drugs； Essential drugs； Failure mode and effect analysis； Quality management |
| 阅读数： | 374 次 |
| 本月下载数： | 11 次 |
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