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首页> 外文期刊>BMC Health Services Research >Using total quality management approach to improve patient safety by preventing medication error incidences **
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Using total quality management approach to improve patient safety by preventing medication error incidences **

机译：采用总质量管理方法通过防止药物误差发生，改善患者安全性**

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Background Whereas one of the predominant causes of medication errors is a drug administration error, a previous study related to our investigations and reviews estimated that the incidences of medication errors constituted 6.7 out of 100 administrated medication doses. Therefore, we aimed by using six sigma approach to propose a way that reduces these errors to become less than 1 out of 100 administrated medication doses by improving healthcare professional education and clearer handwritten prescriptions. Methods The study was held in a General Government Hospital. First, we systematically studied the current medication use process. Second, we used six sigma approach by utilizing the five-step DMAIC process (Define, Measure, Analyze, Implement, Control) to find out the real reasons behind such errors. This was to figure out a useful solution to avoid medication error incidences in daily healthcare professional practice. Data sheet was used in Data tool and Pareto diagrams were used in Analyzing tool. Results In our investigation, we reached out the real cause behind administrated medication errors. As Pareto diagrams used in our study showed that the fault percentage in administrated phase was 24.8%, while the percentage of errors related to prescribing phase was 42.8%, 1.7 folds. This means that the mistakes in prescribing phase, especially because of the poor handwritten prescriptions whose percentage in this phase was 17.6%, are responsible for the consequent) mistakes in this treatment process later on. Therefore, we proposed in this study an effective low cost strategy based on the behavior of healthcare workers as Guideline Recommendations to be followed by the physicians. This method can be a prior caution to decrease errors in prescribing phase which may lead to decrease the administrated medication error incidences to less than 1%. Conclusion This improvement way of behavior can be efficient to improve hand written prescriptions and decrease the consequent errors related to administrated medication doses to less than the global standard; as a result, it enhances patient safety. However, we hope other studies will be made later in hospitals to practically evaluate how much effective our proposed systematic strategy really is in comparison with other suggested remedies in this field.
机译：背景，而药物误差的主要原因之一是药物管理误差，以前的研究与我们的调查和评论有关，估计药物误差的发生率为100种施用药物剂量。因此，我们采用六种六西格玛方法来提出通过改善医疗保健专业教育和更清晰的手写的处方，减少了少于100种给药药物剂量的误差。方法在一般政府医院举行。首先，我们系统地研究了当前的药物使用过程。其次，我们通过利用五步DMAIC过程（定义，测量，分析，实施，控制）来查找此类错误背后的真正原因来使用六种六秒形方法。这是为了弄清楚，避免药物医疗专业实践中的药物错误发生措施的有用解决方案。数据表在数据工具中使用，并在分析工具中使用帕累托图。导致我们的调查，我们致力于施放药物错误背后的真正原因。随着我们研究中使用的帕累托图表明，给药阶段的故障百分比为24.8％，而与处方阶段相关的误差百分比为42.8％，1.7倍。这意味着处方阶段中的错误，特别是因为该阶段百分比的较差的手写处方为17.6％，因此在此处理过程中负责这一处理过程中的错误。因此，我们在本研究中提出了一个有效的低成本策略，基于医疗保健工人作为医生遵循的指导建议。该方法可以是先前的警告，以降低规定阶段的误差，这可能导致将施用的药物错误发生率降低至小于1％。结论这种行为的提高方式可以有效地改善手写的处方，并降低与给药药物剂量相关的后果误差小于全球标准;结果，它提高了患者安全性。然而，我们希望其他研究将在后来在医院进行实际评估我们拟议的系统策略与该领域的其他建议的补救措施相比有多大效益。

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