目的：为了更好地完成静脉用药调配中心的工作，减少药品调配差错的发生数量，保障住院患者用药的安全有效。方法按照品管圈活动的各项步骤，充分利用品管圈的各种手法，有序地开展品管圈活动。结果经过近半年时间的品管圈活动，将静脉用药调配中心排药过程中的差错率降低了64.06%。结论为保障住院患者用药安全起到了十分重要的作用。
OBJECTIVE To analyze the situation infuence factor and pathogenic bacteria of urinary tract infec-tion of the hospitalized Perimenopausal women , In order to provide help for the clinical prevention and treat-ment.METHODS The clincial data of the hospitalized Perimenopausal women from Feb 2010 to Feb 2013 were retrospectively analysed.transition into perimenopausal group and the other group according to the patients Whether in the menopausal ,compared the nosocomial urinary tract infection about two groups ,recorded and analyzed the other group group of patients with urinary tract infection pathogens distribution and the related factors of infec -tion.RESULTS The urinary tract infection rate of patients with perimenopausal women hospital was 22.7%,Signif-icantly higher than the other group group ( P<0.05 ) ,61 strains pathogenic bacteria were detected in perimenopausal group,41 strains gram-negative bacteria(67.2%),escherichia coli was the most ,18 strains gram-positive bacterium (29.5%),two strains fungi(3.3%),The risk effection factor of urinary tract infection for the patients with perim-enopausal including:Rural areas、depression、osteoporosis、diabetes and genital tract tumors ,patients with more than 2 kinds of diseases and indwelling catheters ( P<0.05 ) ,While patients were in menopause stage ,body mass index ,and dysfunctional uterine bleeding have nothing to do with nosocomial urinary tract infection ( P >0.05 ).CONCLUSION Perimenopausal women is the high-risk group in urinary tract infection ,Hospital should strength-en basic treatment and hospital management work at the same time.Take special measures like Psychological auxilia-ry guidance、health education to reduce the risk of nosocomial urinary tract infection for high-risk groups.
目的：通过在静脉用药调配中心（PIVAS）开展品管圈活动，提高员工自觉参与管理的意识，减少差错的发生，保障病人用药安全。方法：充分利用品管圈的各种手法，进行差错分析，提出防范措施。结果：在PIVAS差错明显减少，由改善前的每周47.75件，下降至改善后的17.16件。结论：通过推行品管圈的活动，不断改进药事质量，提升药学服务水平。
目的：通过在病理科开展品管圈活动，提高常规病理切片的质量，保障患者的安全。方法利用品管圈的各种手法，进行原因分析，提高工作质量。结果影响常规病理切片原因从活动前的55件/天，下降到活动后23件/天。结论通过推行品管圈的活动，不断提高病理科的质量管理，更好为患者服务。
目的评价抗菌药物干预前后骨科Ⅰ类切口手术围术期的预防用药情况。方法随机选取2011年1～3月骨科Ⅰ类切口手术出院患者200例作为干预前组,另选取2012年1-3月患者200例作为干预后组,比较2组抗菌药物使用率、使用时间≤24h者比例及平均用药时间。结果干预后组抗菌药物使用率低于干预前组,抗菌药物预防使用时间≤24h者比例高于干预前组,用药时间短于干预前组,差异均有统计学意义(P<0.05)。结论通过干预,可显著提高骨科围术期的抗菌药物用药水平,降低药物费用,对促进临床安全、有效、经济地应用抗菌药物具有良好效果。
