1, Overview
6s management refers to the production site of the state of the elements of production constantly organize (seiri), rectify (seiton), cleaning seiso), safety (safetv), clean (Seiketsu) and enhance the quality of the personnel (shitsuke) activities. 6s management is the basis of the management of the enterprise site. The basic activities, it helps to eliminate all kinds of undesirable phenomena that the unit may face in the production process. 6S management (www.chinatpm.net) in the implementation of the process, through the implementation of the basic activities of organizing, reorganization, cleaning, safety and other basic activities, so as to make it an institutional cleanliness, and ultimately to improve the professionalism of the staff.
6S management is an international management culture of environmental and behavioral construction, which can effectively solve the situation of workplace clutter and disorder, and effectively improve the ability and quality of personal action, thus enhancing work efficiency and achieving the purpose of effectively improving team performance. The implementation of 6S management in the outpatient pharmacy can realize the safety, convenience, rapidity and effectiveness of patients' medication.
2, the implementation method
Organization
According to the location of drugs placed in the work area and the layout of the window 1:3 characteristics, the standing drugs and essential drugs placed in the easy-to-access place, clearly marked; according to the characteristics of outpatient medication, the low frequency of use, non-emergency drugs are placed in the inconvenient to access the area, categorized; and according to the undergraduate department of the daily dosage of different drugs. The turnover base of different medicines is formulated.
The general principle of its organization is to make it as convenient as possible for the staff to take and put the drugs, to facilitate management, to reduce the difficulty of preservation and management, and to create conditions for the effective management of drugs in the ward. Locker room, storage room items placed to achieve neat, standardized, orderly.
Rectification
The basic idea of rectification is to classify and place the drugs according to their categories and establish corresponding rules or systems:
(1) Place the rescue drugs in a location that is easy to access and design eye-catching markings, designate a special person to manage them; place them in a fixed location, with clear labels of each drug, and replenish them in time after using them; and clean them up on a regular basis, and hand them over from one shift to another, so as to ensure the use of them in emergencies.
(2) high frequency of use of this pharmacy and no special management requirements of drugs, placed in the most convenient location; according to the height of the pharmacy shelves and the human body structural characteristics of the commonly used drugs positioned placed on the ground about 1 m of the three, four, five of the three layers (*** seven layers); the other low-frequency drugs placed on the six, seven layers; less frequently used medicines are placed on the first and second floor; this arrangement, can be This arrangement can facilitate work, improve efficiency and reduce labor intensity.
(3) legalized management of controlled drugs, the establishment of a special cabinet, managed by a person; strictly in accordance with the requirements of drug storage custody, the establishment of a strict registration system for the use of poisonous and narcotic drugs; on the inability to use or the remnants of poisonous and narcotic drugs to implement centralized destruction of poisonous and narcotic drugs to implement the handover of a registration system; on the injection of poisonous and narcotic drugs (eg, pethidine, etc.) must be with the prescription and the empty ampoule to the pharmacy to change the medicine; implementation of the drug, The key shift handover, to ensure that the account is consistent.
(4) special management of drugs with special requirements, for special storage requirements of drugs, to ensure their safety and effectiveness, in strict accordance with the requirements of the storage of drugs; all drugs to adopt the principle of "use the old with the new," and according to the expiration date of the successive placement of the drugs will be close to the expiration date of the drug is exhausted and then placed in the expiration date of the distant drugs.
(5) marked conspicuous, all drugs are pasted labels, conspicuously marked with the name of the drug, specifications, units, dosage, batch number, expiration date; some of the shape of the identification of similar, not easy to distinguish between the drugs, with a different color to be prompted; wards have a base of medicines, the alarm form of reminder, that is, when the staff to take a certain kind of drugs, the number of drugs is less than the number of preservation of drug base on the insertion of the red warning card! The red warning card is inserted when a staff member takes a certain medicine and its quantity is less than the base quantity of the medicine to be preserved. The categorization and management of medicines makes the placement of medicines clear at a glance. Clear marking, reasonable drug base, reduce the time spent on drug taking, ensure the rapid safety of medication, taking into account the principle of efficiency priority 圳。
Sweeping
The basic meaning of this is to sweep and decontaminate on a regular basis to maintain cleanliness and hygiene. According to this principle, the weekly fixed person, regularly on the drug preservation cabinet and the corresponding environment for decontamination cleaning, so that the drugs to maintain neat and hygienic, to ensure the good quality of drugs. Through the cleaning of the drug preservation environment, not only to ensure the quality and safety of drugs, but also to patients and staff to create a good atmosphere.
Cleaning
Cleaning means that the results of the work battle after organizing, reorganizing and sweeping should be maintained carefully, so that the site is kept in a perfect and optimal state. Cleaning activities are implemented by adhering to 3 concepts, that is, only in a clean workplace can produce high efficiency, high quality products; cleaning is a kind of heartfelt action, never just work on the surface; cleaning is a kind of work at any time, not before and after commuting to and from work. The main points of cleaning activities are: do not place things that are not used, do not mess, do not get dirty. Not only items need to be clean, the site staff also need to be clean, the staff not only to do physical cleanliness, but also to do spiritual cleanliness.
Quality
Outpatient pharmacy is the window work, not only with all kinds of patients frequent contact, with the hospital related departments also have more contact. The ability to properly handle these relationships is a reflection of the comprehensive quality of the window staff, so it is necessary to enhance staff literacy. Strengthening the sense of service, responsibility and dedication is the prerequisite, cultivating basic ability, communication ability and business ability is the core, and dealing with the relationship between the implementation of the system and quality service is the ultimate performance of staff literacy. The formation of employee literacy can be divided into two stages, namely, the cultivation stage and the formation of professional habits.
In the literacy training stage can be combined with mandatory means and incentives. The first four management content of mandatory supervision and inspection, to do a good job of recognition and reward, do not do a good job of punishment, and gradually can let the staff form normative habits. In the stage of the formation of professional habits of employees, can be carried out on a regular basis to exchange experience and promote *** with progress.
Safety
Safety includes patient, staff and equipment safety. In the culture of the department to establish the concept of safety first, conscientiously comply with the systems and operating procedures, strengthen the responsibility to strictly regulate the management of nursing safety, the performance of the work and rewards and punishments linked; establish a culture of medication safety, quality first, patient first, safety first; to strengthen the awareness of self-protection, prevention is the core of the culture of safety, to eliminate all kinds of errors and accidents.
The effective management of outpatient pharmacy drugs, the main purpose is to ensure that patients need to be able to provide drugs conveniently and in a timely manner. Different staff in the work will form different habits, and may even be bad habits, after the use of drugs with the take and put, indifferent to the availability or quality of drugs, often resulting in the next use of access to the difficulties, or no medicine available.