|
|
Application effect of quality control circle in the reducing the number of real-time unreasonable prescriptions in outpatient department |
LI Xin ZUO Jing GUO Meiqi ZHU Fangfang CHEN Lumei XU Deduo YU Nianxi WU Rong |
Department of Pharmacy, Changzheng Hospital, the Second Military Medical University, Shanghai 200003, China |
|
|
Abstract Objective To analyze the application of quality control circle in the reducing the number of real-time unreasonable prescriptions in outpatient Department in Changzheng Hospital of the Second Military Medical University (hereinafter referred to as “our hospital”), to improve the quality of pharmaceutical care, and to promote patient safe and rational drug use. Methods From January to June 2019, the quality control circle was used to reduce the number of unreasonable prescriptions in the outpatient department of our hospital in real time, then we analyzed the causes leading to the high number of unreasonable prescriptions, formulated countermeasures and implemented. The tangible and intangible results before and after applying quality control circle program were compared and analyzed, then the improvement effect was evaluated. Results After applying quality control circle program, the average number of real-time unreasonable prescriptions per day decreased from 1392 to 618. The target achievement rate was 91.17% and the improvement rate was 55.60%. The quality control techniques, problem solving abilities, work responsibility and other intangible achievements of the circle members have been improved. Conclusion The number of real-time unreasonable prescriptions in outpatient department was reduced by using Quality Control Circle, and can further ensure the safe and rational drug use.
|
|
|
|
|
[1] 郑必龙,刘俊.品管圈在改进医院药学服务质量中的探索和应用[J].安徽医药,2014,18(6):1169-1171.
[2] 时扣荣,李洁,刘娟,等.品管圈活动在降低门诊药品周转天数中的应用[J].中南药学,2017,15(4):524-528.
[3] 刘玲,张健,陈冲,等.开展品管圈活动提高药师处方审核能力的评价[J].安徽医药,2020,24(3):617-619.
[4] 杜闻杉,王瑞,王苏会,等.品管圈在提高医院药房药学服务质量中的应用研究[J].中国医药导刊,2018,20(8):58-60.
[5] 李鑫,廖丽娜,陈燕红,等.处方前置审核系统在门诊处方审核中的应用[J].实用药物与临床,2018,21(4):475-479.
[6] 国家卫生健康委员会.医疗机构处方审核规范[S].国卫办医发〔2018〕14号,2018-06-29.
[7] 刘景.运用品管圈管理模式优化住院药房调剂流程的研究[J].山西医药杂志,2020,49(14):1884-1885.
[8] 费燕,潘俊.品管圈缩短住院药房药品调配时间及提升药学服务质量效果分析[J].中国药业,2019,28(20):75-78.
[9] 巴德祥.药房药学服务质量化管理中构建品管圈的可行性研究[J].山西医药杂志,2020,49(5):600-602.
[10] 霍梦逸,张宏伟,王培,等.品管圈活动在提升门诊中药房处方合格率中的应用效果分析[J].河北医药,2018, 40(23):122-125.
[11] 朱嵌玉,延晓伟,万齐华,等.品管圈在降低门诊处方不合格率的效果分析[J].河北医药,2020,42(3):467-470.
[12] 韩燕,单海静,沈秋红.基于PDCA循环的品管圈在门诊药房服务工作中的应用[J].上海医药,2019,40(15):75-78.
[13] 王莉,刘艳,苏贻洲.品管圈活动在药学部药品安全质量管理中的应用[J].中国处方药,2020,18(4):60-62.
[14] 卓玉娟,罗宁,杨柳,等.采用品管圈缩短我院住院药房药品调配时间[J].中国药房,2018,29(5):591-595.
[15] 张钰.利用品管圈降低门诊处方不合格率的探讨[J].中国医院药学志,2012,32(10):803-804.
[16] 叶丽卡,金伟军,赖伟华,等.降低门诊西药房调配差错率多中心品管圈实践活动[J].中国医院药学杂志,2016, 36(15):1327-1330.
[17] 金露,裘振振,余灵芝.运用品管圈管理模式优化急诊发药流程的探讨[J].中医药管理杂志,2018,26(19):143-145.
[18] 卫生部.处方管理办法[S].卫生部令第53号,2007-05-01.
[19] 卫生部.医院处方点评管理规范(试行)[S],卫医管发〔2010〕28号,2010-02-10.
[20] 梁悦,王培,白雪,等.品管圈管理在降低中药房处方不合格率的实践效果分析[J].实用药物与临床,2019,22(7):781-784.
[21] 刘学辉,史香芬,吴彩霞,等.品管圈在提高药品盘点账物相符率中的应用[J].上海医药,2020,41(5):61-64.
[22] 陈龙.品管圈在减少医院门诊药房近效期药品中的应用[J].临床合理用药杂志,2017,10(34):177-178.
[23] 蔡宁,周玲.“QCC”方法在提高门诊药房的服务管理品质中的应用[J].中国医药导报,2012,9(35):146-148.
[24] 霍梦逸,张宏伟,王培,等.品管圈活动在提升门诊中药房处方合格率中的应用效果分析[J].河北医药,2018, 40(23):3641-3644.
[25] 唐春娟,宋军妹,惠权斌,等.品管圈在提升医院药事质量管理中的应用与体会[J].中国医药导刊,2020,22(3):193-196.
[26] 吴戈,刘芳群,欧艳,等.品管圈在自动化建设中提高门诊药房处方调配速率及优化调配路径的应用与效果分析[J].中南药学,2018,16(7):1030-1033. |
|
|
|