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目的:通过持续质量改进降低儿科病房少服(或漏服、不服、未按时服)药的发生率。方法:在全面分析少服药原因的基础上,自2012年7月将持续质量改进(CQI)的方法应用于儿科发药到口,具体方法包括成立质量控制小组,增强发药到口意识,改进发药流程,加强监督、评价等。比较2012年4~6月(实施CQI前)4893人次和2012年7~9月(实施CQI后)5395人次口服药少服的发生率,并调查了200例患儿家长对护理人员发口服药服务的满意度。结果:实施CQI后三个月,小儿少服药发生率明显下降(P<0.01);患儿家长对护理人员发药满意度由88%上升到98%。结论:实施CQI能有效降低小儿少服药的发生率,提高患儿家长的满意度。
OBJECTIVE: To reduce the incidence of low-dose pediatric ward (or missing service, not satisfied, not served) drugs through continuous quality improvement. Methods: Based on a comprehensive analysis of the reasons for the lack of medication, the method of continuous quality improvement (CQI) was applied to pediatrics in July 2012. The specific methods include setting up a quality control team to enhance the awareness of delivery to the mouth and improve Drug delivery process, strengthen supervision, evaluation and so on. The incidence of oral administration of 5,995 oral small doses was compared between 4893 in April-June 2012 (before implementation of CQI) and July-September 2012 (after implementation of CQI), and 200 parents were surveyed to orally take oral medication Service satisfaction. Results: Three months after the implementation of CQI, the incidence of less medication in pediatric patients decreased significantly (P <0.01). The satisfaction of pediatric parents with drug delivery increased from 88% to 98%. Conclusion: The implementation of CQI can effectively reduce the incidence of pediatric medication less and improve the satisfaction of parents of children.