Value of six sigma management combined with visual management mode in pharmacy intravenous admixture services
Liu Lu
Wang Yun-ji
Cao Hui
Bao Han
Zhou Yi-ping
Zhu Ling-yun
Abstract：Objective To explore the application value of visual management combined with six sigma management mode in the pharmacy intravenous admixture services(PIVAS).Methods Totally 1 400 prescriptions were collected from Nanjing Hospital Affiliated to Nanjing University of Traditional Chinese Medicine when the visual management was carried out and were assigned as the control group,and 1 400 prescriptions were collected from the hospital when the visual management combined with six sigma management mode was carried out and were assigned as the observation group.The prescriptions were simply randomized to assign by computer.The quality control indexes,dispensing quality,incidence of adverse events and clinical departments'satisfaction were compared between the two groups.Results The total error rate of the observation group was 0.50%,lower than 3.43%of the control group(χ2 = 38.988,P = 0.000);the rate of timely dispensing,rate of accurate dispensing and qualified rate of finished infusion of the control group were respectively 88.28%,94.35%and 89.07%,lower than 96.35%,97.72%and 93.14%of the observation group(χ2 = 64.330,P = 0.000;χ2 = 20.722,P = 0.000;χ2 = 14.322,P = 0.000).The rate of irrational medical orders,breakage rate of drug,error rate of dispensing andprobability of adverse events of the observation group were respectively 0.21%,0.50%,2.28%and 1.07%,lower than 1.07%,1.64%,5.65%and 4.21%of the control group(χ2 = 8.052,P = 0.005;χ2 = 8.626,P = 0.003;χ2 = 20.722,P = 0.002;χ2 = 26.872,P = 0.000).The satisfaction of clinical departments was(91.34±6.29)points in the observation group,higher than(83.67±5.14)points in the control group(t = 869.645,P = 0.000).Conclusion The Six Sigma management combined with visual management mode can improve the dispensing quality of PIVAS,raise the work efficiency,and reduce the incidence of adverse events,and it is conducive to the operation of the PIVAS.
Keywords：Visual managementSix Sigma management modePharmacy intravenous admixture servicesDispensing qualityWork efficiency
Publication Date：2024-02-25
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：3( 87-89 )