RESUMEN
OBJECTIVE: To investigate the use of PDCA mode for risk assessment and risk management of pharmacy intravenous admixture service. METHODS: A retrospective analysis was made on the errors recorded in the intravenous drug dispensing center from Monday 2019 to March 2019. The types and links of errors were counted and classified, and the causes were analyzed. Targeted preventive measures were implemented from April to June 2019 to observe the incidence of errors before and after prevention in intravenous drug dispensing centers. RESULTS: Through the PDCA cycle management intervention, the main errors in intravenous drug dispensing center are dispensing, labeling, reviewing, checking and issuing. The incidence of errors in each link after prevention is lower than that before prevention, and the difference is statistically significant (P<0.001). CONCLUSION: The PDCA cycle management and risk assessment are conducted. The paper analyzes the types and causes of common errors in intravenous drug dispensing center, so as to formulate corresponding preventive measures, which can reduce the risk factors of errors, reduce the incidence of errors, improve the quality of finished product infusion and the safety of intravenous drug use.