持续质量改进在我院处方质量管理中的应用  

Continuous quality improvement method applying in prescription quality management in our hospital

作　　者：谢明华[1] 葛敏[1] 彭佳蓓[1] 饶跃峰[2] 

机构地区：[1]浙江省杭州市余杭区第一人民医院药剂科,杭州311100 [2]浙江大学医学院附属第一医院药剂科,杭州310003

出　　处：《中国临床药学杂志》2015年第1期46-48,共3页Chinese Journal of Clinical Pharmacy

摘　　要：目的探讨持续质量改进对我院处方质量管理的作用。方法采用PDCA管理循环法对我院门急诊处方点评工作进行管理,找出不合理处方,分析原因,制定质量改进措施,明确目标进行持续改进并观察效果。结果 2013年1-4月与2012年9-12月相比,不合理处方百分率显著降低(P<0.01),下降幅度42.96%;2013年5-8月与2013年1-4月相比,不合理处方百分率也显著降低(P<0.01),下降幅度51.91%,处方质量持续改进达到预期目标。结论在处方质量管理中引进持续质量改进管理方法,可有效提高处方的质量,促进医院合理用药。AIM To investigate the effect of continuous quality in our hospital. METHODS The PDCA （plan, do, check and action） find out the unreasonable prescriptions and analysis, develop measures improvement on prescription quality management cycle quality improvement process was applied, to to control it, establish specific goals and observe the effect. RESULTS The proportion of the irrational prescriptions in our hospital dropped down significantly in January- April 2013 compared with in September to December 2012（ P 〈 0.01）. The expected target of continuous improvement of the quality of the prescriptions was achieved. CONCLUSION The introduction of continuous quality improvement in prescription quality management can effectively improve the quality of prescriptions, and to promote the rational use of drugs in hospital.

关 键 词：持续质量改进 处方点评 PDCA循环 

分 类 号：R95[医药卫生—药学]