关键词: 心血管疾病；重症护士；智能药柜机；持续质量改进

Abstract: Objective: To evaluate the effect of continuous quality improvement in optimizing clinical nurses' satisfaction with the use of Automated Dispensing Cabinet (ADC), and the convenience and safety of nurses' access to medicines. Methods: A team was set up to investigate and analyze the use of ADC, and formulate improvement measures for the main problems. Nurses implement continuous quality improvement and evaluate the effects. Results: From April 2015 to December 2019, 20 major problems were discovered, and 40 quality improvements and 3 new processes were made for it, and 4 processes were revised. After continuous quality improvement, nurses were satisfied with the rationality of drug placement, the accuracy of drug identification, the convenience of drug access, the safety of anesthesia and first-class psychoactive drugs access, and the overall satisfaction of drug access system (P<0.05). The time for nurses to take temporary medicine order was shortened from (5.19±1.12) min to (4.61±0.93) min (P<0.05), and the time for temporary medical order withdrawal was shortened from (3.59±1.20) min to (2.89±1.10) min (P<0.05). The incidence of nurses taking medicine errors was reduced from 0.7% to 0.3% (P<0.05). Conclusion: After continuous improvement of improving the use of ADC, the medicine storage method and the clinical nursing medication process were optimized. The convenience and safety of clinical nursing medication was improved, and the closed management of the nursing medication process was realized.

Key words: cardiovascular disease; intensive care nurse; Automated Dispensing Cabinet; continuous quality improvement