OBJECTIVE:To cut down dispensing errors in PIVAS of our hospital.METHODS:QCC activities were performed according to the theory of it,and main types of errors in Pharmacy Intravenous Admixture Services (PIVAS) were analyzed.Countermeasures were investigated and implemented,and then tangible achievement and intangible achievement were evaluated.Review and improvement of PIVAS were conducted continuously.RESULTS:Types of error were mainly the number of taking drugs,the number and error of drug dispensing,etc.10 items of countermeasures were established,such as re-setting format of drug taking summary,improving drug taking process of trainee and establishing disposal measures of drug shortage.The number of error of tangible achievement evaluation index decreased from 151 per week before QCC activities to 68 per week (decreasing by 54.97％),and QCC ability of intangible achievement evaluation index was positive.CONCLUSIONS:The implementation of QCC activities in PIVAS reduces the number of errors and promotes the safety of drug use.%目的:减少静脉药物配置中心(PIVAS)的配置差错.方法:按照品管圈理论实施各项活动,分析PIVAS差错发生的主要类型,探讨并实施解决的对策,评价有形成果和无形成果,并进行持续的检讨与改进.结果:针对差错发生的主要类型如取药数量、摆药数量、摆药品项等错误制订了包括重新设置病区取药汇总单格式、完善实习生取药流程、建立缺药处置措施等10项对策.活动后有形成果评价指标差错件数由活动前的151件/周降到活动后的68件/周(下降54.97％),无形成果评价指标圈能力均为正向.结论:PIVAS推行品管圈活动可有效降低配置差错数,促进患者用药安全.
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