PDCA循环管理在我院药品不良反应监测工作中的应用  

Application of PDCA Cycle Management in Monitoring Adverse Drug Reaction in Our Hospital

作　　者：罗瑞兰[1] 陈文滨[1] 朱惠娟[1] 郑建华[1] 

机构地区：[1]惠州市第一人民医院药学部,广东惠州516003

出　　处：《中国药房》2015年第17期2353-2355,共3页China Pharmacy

摘　　要：目的:探讨应用PDCA循环管理在医院药品不良反应(ADR)报告和监测中的效果,提高ADR报告和监测管理质量,促进临床合理用药。方法:采用PDCA循环管理法,制定ADR上报和效果评价标准,并提出持续改进的措施。结果:实施PDCA循环管理后,我院ADR监测数量及质量明显提高,2011-2014年ADR上报例数依次为63、95、136、206例,新的/严重的ADR上报例数依次为2、5、15、30例,临床科室上报例数依次为15、39、87、164例,均显著增加。无效报表例数和ADR病历无记录/记录不详实例数都显著减少。结论:PDCA循环管理可以有效地改进医院ADR监测工作,提高医务人员主动上报的自觉性。OBJECTIVE： To study the efficacy of PDCA cycle management in reporting and monitoring adverse drug reaction （ADR）, improve the quality of ADR reports and monitoring management and promote clinical rational drug use. METHODS： The current situation of ADR monitoring in our hospital was analyzed. PDCA cycle management was used to establish the standards of ADR reports and effect evaluation, and put forward continuous improvement measures. RESULTS： After PDCA cycle manage- ment, the quantity and quality of ADR monitoring in our hospital were obviously improved. The ADR reports during 2011-2014 were respectively 63, 95, 136 and 206 cases and new or severe ADR reports were respectively 2, 5, 15 and 30 cases, ADR re- ports were respectively 15,39,87,164 cases from clinical departments,with a trend of increase.The numbers of ineffective report forms and no or not detailed ADR records had significant decrease. CONCLUSIONS： PDCA cycle management can effectively im- prove the ADR monitoring in the hospital and the consciousness of medical staff initiative to report.

关 键 词：药品不良反应 PDCA循环 监测 合理用药 

分 类 号：R969.3[医药卫生—药理学]