Study on the application of visual management in the nursing management of Intravenousdrug dispensing center
目视管理在静脉用药调配中心护理管理中的运用研究

摘要

目的 分析静脉用药调配中心护理管理内引进目视管理的价值。方法 对医院中静脉用药调配中心为基本单位，在2020年期间对护理管理工作引进常规模式，记作常规管理组。在2021年期间对护理管理工作引进目视管理，记作特殊管理组，对比调配中心的护理管理效果，评估目视管理的应用价值。结果 常规管理组有批次不能匹配12例，病区不能符合有16例，标签错误有24例，药品调配出错有25例、剂量不够合理有13例、相似药品管理不科学有10例，总出现率是12.8%，显著高于特殊管理组1.9%（有批次不能匹配2例，病区不能符合有3例，标签错误有3例，药品调配出错有2例、剂量不够合理有1例、相似药品管理不科学有4例），说明目视管理理念的应用可降低药品调配管理问题的出现，p<0.05；常规管理组的药品管理质量分数平均（76.46±3.92），小于特殊管理组（93.11±2.50），p<0.05。结论 采取目视管理的理念进行医院用药调配中心的管理工作，可以显著降低管理问题的出现率，值得推广。

Abstract

Objective To analyze the value of visual management of intravenous drug dispensing center.
Methods The middle and intravenous drug dispensing center in the hospital is the basic unit, and the routine mode is introduced for nursing management during 2020 and recorded as the routine management group. During 2021, visual management will be introduced for nursing management and recorded as a special management group, comparing the nursing management effect of the deployment center, and evaluating the application value of visual management.
Results conventional management group batch cannot match 12 cases, ward can not comply with 16 cases, labeling error has 24 cases, drug dispensing error 25 cases, reasonable dosage has 13 cases, similar drug management is unscientific 10 cases, total occurrence rate is 12.8%, significantly higher than the special management group 1.9% (batch cannot match 2 cases, ward can not meet 3 cases, labeling error 3 cases, drug dispensing error in 2 cases, not reasonable dose 1 case, similar drug management unscientific 4 cases), the application of visual management concept can reduce the emergence of drug dispensing management problems, p <0.05；The average drug administration quality score in the conventional management group (76.46 ± 3.92), which was less than that in the special management group (93.11 ± 2.50), p <0.05.
Conclusion   Taking the concept of visual management for the management of the hospital drug deployment center can significantly reduce the occurrence rate of management problems, which is worth promoting.