Qiu Qining, Zhu Guohong, Peng Gang, Chen Zhenhui, Zhu Zhenmao, Zhou Yan, Ye Yanrong, Shen Yun, Wang Lumin
Zhongshan Hospital (Xiamen), Fudan University, Xiamen city, Fujian, China, 361015.
Zhongshan Hospital, Fudan University, Shanghai, China, 200032.
Explor Res Clin Soc Pharm. 2024 Aug 8;15:100487. doi: 10.1016/j.rcsop.2024.100487. eCollection 2024 Sep.
This study aims to evaluate the effectiveness of the Quality Risk Management (QRM) system in hospital pharmacy intravenous admixture services (PIVAS).
Failure Modes and Effects Analysis (FMEA) and risk matrix methods were used to systematically assess the critical risk points in PIVAS. By collecting and comparing relevant data from 2019 to 2023, key performance indicators (KPIs) before and after the implementation of the QRM system were quantitatively evaluated.
The results showed that the safety and efficiency of pharmacy services significantly improved after the implementation of the QRM system. The medication error rate significantly decreased from 3.2% to 1.1%, the average medication preparation time reduced from 15.5 min to 8.2 min, and staff satisfaction increased from 6.0 to 8.5 points. Other indicators, such as cross-contamination rates and handling errors, also showed significant improvement (all outcomes < 0.001).
Systematic risk management effectively enhanced the operational performance of PIVAS, reduced medication errors, and improved the quality of healthcare services. This study highlights the key role of QRM in enhancing medication safety and productivity, providing empirical support for the implementation of similar systems in other healthcare institutions.
本研究旨在评估质量风险管理（QRM）系统在医院药房静脉药物配置中心（PIVAS）的有效性。
采用失效模式与效应分析（FMEA）和风险矩阵方法系统评估PIVAS中的关键风险点。通过收集和比较2019年至2023年的相关数据，对QRM系统实施前后的关键绩效指标（KPI）进行定量评估。
结果表明，实施QRM系统后，药房服务的安全性和效率显著提高。用药错误率从3.2%显著降至1.1%，平均用药准备时间从15.5分钟降至8.2分钟，员工满意度从6.0分提高到8.5分。其他指标，如交叉污染率和处理错误率，也有显著改善（所有结果P<0.001）。
系统风险管理有效提高了PIVAS的运行绩效，减少了用药错误，提高了医疗服务质量。本研究突出了QRM在提高用药安全性和生产率方面的关键作用，为其他医疗机构实施类似系统提供了实证支持。
