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中文摘要: 目的：通过品管圈活动，降低静脉配置中心（PIVAS）成品输液配置过程中的漏费金额占比，减少经济损失，保证临床患者的用药安全性。方法：应用品管圈和PDCA循环法对2020年1月—6月泰州市第一人民医院PIVAS的成品输液结算漏费情况进行统计，分析漏费原因，拟定有效对策，最终降低输液结算漏费占比。结果：本次品管圈活动，有形及无形成果均较显著，输液结算漏费金额由2020年1月份的2 854.9元降低到了6月份的721.59元，而漏费占比也从0.2%降低到了0.04%，目标达标率为107%。结论：品管圈方法切实可行，制定的措施有效，显著降低了PIVAS成品输液结算漏费占比，并对PIVAS药品调配的规范性有一定的指导意义。
中文关键词: 品管圈 静脉配置中心（PIVAS） 漏费占比
Abstract:Objective：Through the quality control circle，we aimed to reduce the proportion of leakage fee in PIVAS infusion，reduce the economic loss and ensure the safety of drug. Methods：We made a statistic on the proportion of leakage fee in infusion settlement of PIVAS by quality control circle and PDCA，during January to June of 2020 in Taizhou People’s Hospital to analyze the causes of leakage fee，formulate effective countermeasures，and finally reduce the proportion of leakage fee in infusion settlement. Results：Through this activity，both tangible and intangible results were significant. The leakage fee of infusion settlement was reduced from RMB2 854.9in January 2020 to RMB 721.59 in June 2020，and the leakage fee proportion is also reduced from 0.2% to 0.04%，with the target reaching the standard rate of 107%. Conclusion：The quality control circle is feasible and effective，which could significantly reduce the proportion of leakage fee in the settlement of PIVAS. It has a certain guiding significance for the standardization of PIVAS drug allocation.
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基金项目:江苏省药学会—夏尔医院药学基金（S201711） 江苏省药学会—夏尔医院药学基金（S201711）
引用文本：
纪汶君,王玉刚*.品管圈在降低PIVAS成品输液结算漏费占比中的应用△[J].江苏卫生事业管理,2021,32(6):779-782.
JI Wenjun,WANG Yugang*.Application of Quality Control Circle which Decrease the Proportion of Leakage Fee in Infusion Settlement in PIVAS△[J].Jiangsu Health System Management,2021,32(6):779-782.
纪汶君,王玉刚*.品管圈在降低PIVAS成品输液结算漏费占比中的应用△[J].江苏卫生事业管理,2021,32(6):779-782.
JI Wenjun,WANG Yugang*.Application of Quality Control Circle which Decrease the Proportion of Leakage Fee in Infusion Settlement in PIVAS△[J].Jiangsu Health System Management,2021,32(6):779-782.
