持续质量改进理论在妇幼保健院处方点评中的应用  

Application of Continuous Quality Improvement Theory in Prescription Comments in Maternal and Children Health Care Hospital

作　　者：李艳[1] 朱华威 

机构地区：[1]湖北随州市妇幼保健院,湖北随州441300

出　　处：《中国药房》2012年第25期2308-2310,共3页China Pharmacy

摘　　要：目的:探讨持续质量改进理论在妇幼保健院门诊处方点评中的应用。方法:基于PDCA循环法,对门诊处方点评工作采取计划、执行、检查和行动4个阶段的过程管理,通过找出不合格处方的表现、分析原因、制定改进措施及目标、明确责任人进行持续质量改进。随机抽取改进后9个月的门诊处方1800张(每月200张)统计每月处方合格率。结果:门诊处方合格率由改进前的55%提高到改进后1-9月的60%、65%、85%、86%、88%、90%、95%、99%、99%(P<0.05)。结论:在门诊处方点评中引进持续质量改进管理方法,提高了门诊处方的质量,促进了合理用药。OBJECTIVE： To investigate the application of continuous quality improvement theory in prescription comments in outpatient department of maternal and child health care hospital. METHODS： Based on PDCA cycle method, the outpatient pre- scriptions were commented in respects of Plan, Do, Check and Action. We conducted continuous quality management, found out the specific performance of the unqualified prescription, analyzed the possible causes, made improvement plan and achieved goal, cleared and defined responsible person. We took a random sample of 1 800 outpatient prescriptions within 9 months after continuous quality improvement （200 prescriptions each month）, and calculated the monthly qualified rate of prescription. RESULTS： The qualified rate of outpatient prescriptions had been improved from 55% before quality improvement to 60%, 65%, 85%, 86%, 88%, 90%, 95%, 99% and 99% from Jan. to Sept. after quality improvement （P＇〈0.05）. CONCLUSION： Application of contin- uous quality improvement in the comments of outpatient prescription can effectively improve the quality of outpatient prescription and rational drug use.

关 键 词：持续质量改进 管理方法 PDCA循环法 妇幼保健院 处方点评 

分 类 号：R95[医药卫生—药学]