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目的探讨保障手术室吸入用七氟烷账物相符的管理方法。方法分析引起该药盘点误差的原因并提出相应的PDCA循环管理措施,对管理前后的账存差异和盘点误差率进行统计学分析。结果通过提高管理级别、冰箱加锁、双人加药、空瓶统一回收销毁、细化蒸发罐刻度、将蒸发罐内残余药液纳入盘点总数、每日盘点及时纠正的方式进行持续质量管理改进,使得吸入用七氟烷账存差异的平均值从PDCA干预前的1 000 mL降至54.71 mL,盘点误差率的平均值从干预前的16.06%降至1.10%,差异具有统计学意义(P<0.05)。结论我院吸入用七氟烷采用PDCA循环管理法后显著减小了该药盘点时账存差异数的大幅波动,降低了盘点误差率,还能防止药品以任何形式的外流。
Objective To explore a management method for ensuring the inhalation of sevoflurane in the operating room. Methods Analyze the causes of the inventory error and propose corresponding PDCA cycle management measures, and make statistical analysis on the difference between inventory management and inventory error before and after the management. Results By improving the management level, refrigerator lock, double dosing, empty bottles unified recovery destruction, refine the scale of evaporation cans, the residual liquid in the evaporation cans into the inventory count, daily inventory timely manner to correct the continuous quality management improvement, As a result, the average value of difference in accounts of inhaled sevoflurane was reduced from 1 000 mL before PDCA intervention to 54.71 mL, and the average value of inventory error rate was reduced from 16.06% before intervention to 1.10%, the difference was statistically significant (P < 0.05). Conclusion The PDCA cycle management method using sevoflurane inhalation in our hospital significantly reduces the large fluctuation of the inventory difference when the drug inventory, reducing the inventory error rate, but also to prevent any outflow of drugs in any form.