ZHONGHUA YANGSHENG BAOJIAN ›› 2025, Vol. 43 ›› Issue (12): 92-96.

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Visual Management Combined with Six Sigma Management Mode in Pharmacy Intravenous Admixture Services Application Effect

Chen Jing-mei1, Liu Ting1, Ning Xiao-fang1, Peng Ya-ting1, Xiang Jin-xiang2, Deng Yan-fen3   

  1. 1. The Fourth People's Hospital of Chenzhou City, Hunan Province, Chenzhou, Hunan, 423000, China;
    2. School of Public Health, Xiangnan University, Chenzhou, Hunan, 423000, China;
    3. Evaluation Office, The Fourth People's Hospital of Chenzhou City, Hunan Province, Chenzhou, Hunan, 423000, China
  • Published:2025-10-14

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Abstract: Objective To explore the effect of visual management combined with six Sigma management mode in the management of intravenous drug dispensing center (PIVAS). Methods A total of 436,896 prescriptions under the conventional management mode from July to December 2023 were recorded as the control group, and 421,749 prescriptions under the visual management combined with six Sigma management mode from January to June 2024 were recorded as the observation group. A systematic random sampling of 1300 pieces was used. The dispensing efficiency, dispensing quality, incidence of adverse events and satisfaction of medical staff on PIVAS were compared between the two groups. Results The dosage per person per hour in the observation group was higher than that in the control group, and the dosage time per bottle in the observation group was shorter than control group, the difference was statistically significant (P<0.05). The timely dispensing rate, accuracy rate and qualified rate of finished infusion in the observation group were higher than control group, and the differences were statistically significant (P<0.05). The allocation error rate, drug damage rate, unreasonable doctor's order rate and adverse event rate of observation group were lower than control group, and the difference was statistically significant (P<0.05). The satisfaction of medical staff in the observation group was higher than that in the control group on the quality of finished PIVAS infusion, the accuracy of drug delivery, the timeliness of drug delivery, the rationality of liquid distribution in each batch, and the timeliness of solving clinical feedback problems, the difference was statistically significant (P<0.05). Conclusion Visual management combined with six Sigma management can improve the work efficiency and quality of PIVAS, reduce the occurrence of adverse events and improve the satisfaction of medical staff in ward.

Key words: pharmacy intravenous admixture services, visual management method, six sigma management, dispensing quality, work efficiency

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