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2014年儿童输液中心品管圈第四阶段活动总结
更新时间:2015/6/20 10:11:42

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">一 工程概要<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">通过讨论,制定计划,<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">开展本年度第四阶段活动:<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">规范化配药前药物核对制度。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">二 题目选定理由<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">   就近期出现的药房发药问题,护士配药问题引起了我们的重视。如何有效的核对,及时发现问题,将可能的差错扼杀在萌芽时,切实保障病患输液安全,是我们工作的重点,故选定此题目。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">三 现状把握  <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">    近期出现的<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">药房发药问题,护士配药问题引起我们的深思。由于我们科室新流程更加成熟稳步运作,我们也逐步适应了与药剂科同事合作完成整个输液流程。但这更要求我们要更加慎重的对待我们所经手配置的药物。如何达到有效的核对,及时发现处方问题,输液标签贴错,溶媒不符,药品名与处方不符等问题,这需要我们的深思。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">四 要因分析<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

1. <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">少部分护士未做到有效核对,未能及时发现问题。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

2. <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">药剂科部分同事观念上不够端正、严谨,认为药品错漏情有可原,过分依赖护士的二次查对工作,将查对工作归咎在配药护士身上。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">五 对策讨论<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

1. <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">制定规范化配药前的核对制度与流程。(见附<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">1)<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

2. <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">通过护士长与药剂科同事的沟通,大家共同努力完善药物核对制度。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">六 对策实施及效果检讨<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: 0.5000pt solid windowtext; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">实施

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142.05pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: none; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">效果

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142.05pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: windowtext 0.5pt solid; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: none; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">检讨

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: medium none; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: 0.5000pt solid windowtext; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">制定规范化配药前的核对制度与流程

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142.05pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: medium none; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: none; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">可以做到有证可循,操作规范化

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142.05pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: medium none; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: none; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">需要循序渐进,大家互相监督改进

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: windowtext 0.5pt solid; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: medium none; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: 0.5000pt solid windowtext; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">护士长与药剂科同事的沟通

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142.05pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: medium none; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: none; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">大家更加严格要求自己,从自身做起,共同努力、进步

<TD style="BORDER-BOTTOM: windowtext 0.5pt solid; BORDER-LEFT: medium none; PADDING-BOTTOM: 0pt; PADDING-LEFT: 5.4pt; WIDTH: 142.05pt; PADDING-RIGHT: 5.4pt; BORDER-TOP: medium none; BORDER-RIGHT: windowtext 0.5pt solid; PADDING-TOP: 0pt; mso-border-left-alt: none; mso-border-right-alt: 0.5000pt solid windowtext; mso-border-top-alt: 0.5000pt solid windowtext; mso-border-bottom-alt: 0.5000pt solid windowtext" vAlign=top width=189>

 

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">七 感想<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">通过这一活动的开展,我们更加了解到安全护理的重要性,我们的一个操作,直接关系到是一个患儿的生命健康,这使得我们必须重视,更加重视自己的每一项操作护理。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">随着儿童输液中心新流程的投入使用,接待核对配置药物是我们输液的第一步,这一步直接关系到之后的输液流程能否顺利进行,如何准确的配置药物,是每一个护士的职责所在。当然,绝大部分的护士做好了自己的本职工作,尽心尽责的完成每一位患儿的输液工作,但是,还是存在个别的护士姐妹,缺乏这样的应对能力。面对日新月异的医学新技术,新药物,我们需要随时给自己敲响警钟,以一个严谨的态度面对所有的护理,所有的病人。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">可喜的是,所有的护士姐妹们都配合我们的工作,大家齐心一致,为我们的安全护理工作尽自己的一份心力!<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: normal; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">八 今后计划<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; FONT-WEIGHT: bold; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

1. <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">继续完善安全护理,安全护理工作。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

2. <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">对于药物核对,继续发现并总结经验,为以后的工作打好基础。<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">   <SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'"> 

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'"> 

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">儿童输液室点滴圈<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">                                                          201<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">4<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">/<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">12/19<SPAN style="FONT-FAMILY: 仿宋; FONT-SIZE: 12pt; mso-font-kerning: 1.0000pt; mso-spacerun: 'yes'">

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