品管圈活动在缩短PIVAS新生儿营养液调配时间的应用

目的：通过在静脉用药调配中心（PIVAS）开展品管圈活动，缩短新生儿营养液调配时间，提高工作效率，确保临床及时用药。方法：根据品管圈质量管理方法，以PIVAS新生儿营养液作为研究对象，通过记录每一个流程所用时间，分析我院PIVAS新生儿营养液调配较慢的原因，活动按照PDCA循环法的十大步骤进行。结果：药师调配每袋营养液时间、计算汇总单时间、药师摆药时间、药师审核时间是我院PIVAS新生儿营养液调配流程耗时长的原因。通过采取加强人员培训、信息化计算汇总单、更改摆药流程等措施，我院PIVAS新生儿营养液调配时间由原来的62.1min下降到28.5 min，目标值为52.81%，改善值54.11%，目标达成率102.4%。结论：我院PIVAS开展品管圈活动，通过改进流程，优化信息，不仅缩短了调配时间，还提高了工作效率，确保临床及时用药及用药安全

Application of Quality Control Circle Activities in Shortening Dispensing Time of Neonatal Nutrition Solution in Pharmacy Intravenous Admixture Services

Objective: By carrying out quality control circle activities in pharmacy intravenous admixture services (PIVAS), to shorten the dispensing time of neonatal nutrition solution, improve the work efficiency and ensure the timely clinical medication. Methods: Based on the management method of quality control circle, the PIVAS neonatal nutrition solution was taken as the research object. By recording the time taken for each process, reasons for the slow dispensing of neonatal nutrition solution in our hospital were analyzed. The quality control circle activities were carried out according to ten steps of PDCA cycle method. Results: The dispensing time of nutrient solution, the time of calculating and summarizing the lists, the time of administration and the time of reviewing were the reasons for the long dispensing time of PIVAS neonatal nutrition solution in our hospital. By taking measures such as strengthening the personnel training, informationized calculation of summary lists, and changing the dosing process, the dispensing time of PIVAS neonatal nutrition solution in our hospital decreased from 62.1 min to 28.5 min, with the target value of 52.81%, the improvement value of 54.11%, and the target achievement rate of 102.4%. Conclusion: The quality control circle activities were carried out by PIVAS in our hospital. By improving the process and optimizing information, it not only shortens the dispensing time of neonatal nutrition solution, but improves work efficiency and ensures timely clinical medication and medication safety.