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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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Abstract 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：摘要背景而用药错误的主要根源之一是给药错误，先前的研究中涉及到我们的调查和审核估计，用药错误的发生率构成6.7的100个给予药物剂量。因此，我们的目的是通过使用六西格玛方法提出减少这些错误变得小于1出的100给予药物剂量通过提高医疗专业教育，更清晰的手写处方的方式。方法本研究在政府总医院举行。首先，我们系统地研究了当前的用药过程。其次，我们采用六西格玛方法利用五步DMAIC流程（定义，测量，分析，实施，控制）来找出这些错误背后的真正原因。这是为了弄清楚在日常的医疗保健专业实践，以避免用药错误发生率一个有用的解决方案。数据表在数据工具使用和帕累托图是在分析工具使用。结果在我们的调查中，我们伸出手给予用药错误背后的真正原因。在我们的研究中使用帕累托图显示，在给予阶段的故障率为24.8％，而涉及到处方相位误差的比例为42.8％，1.7倍。这意味着，在处方阶段的错误，特别是因为穷人手写处方，其比例在此阶段为17.6％的，负责随之而来的），在这个处理过程中的错误以后。因此，我们在这项研究中所应遵循医生根据医护人员为指导建议的行为有效的低价策略建议。该方法可以是一个事先警告在规定相位，这可能导致降低给药用药错误发生率小于1％的减小误差。结论这种行为改善方式，可以有效的改善手写处方，降低有关给予药物剂量要低于全球标准随之而来的错误;其结果是，它增强了病人的安全。然而，我们希望其他研究稍后将在医院进行切实评估我们所提出的系统化战略到底有多大效果与在这一领域的其他建议的措施比较。

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    Nadin Yousef; Farah Yousef;

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  • 年度 2017
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