PDCA循环管理方法在妇产科医院临床药学服务中的应用  

Application of PDCA Circulation Method in Clinical Pharmaceutical Care of Gynecology and Obstetrics Hospital

作　　者：王先利[1] 庞艳玉[1] 孙慧[1] 王萌萌[1] 金经[1] 曾涛[1] 杨振宇[1] 

机构地区：[1]复旦大学附属妇产科医院药剂科,上海200090

出　　处：《中国药房》2016年第1期134-137,共4页China Pharmacy

摘　　要：目的:探讨PDCA循环管理方法在临床药学服务中的应用效果。方法:按照PDCA循环管理法,调查我院2013年临床药学的服务质量及医护、患者对该工作的满意度情况,分析存在问题的原因,并拟订措施、检查和落实,最后对实施效果进行评价。结果:针对临床药学服务质量及满意度不高的原因,制订了增强临床药师妇产科用药服务技能,增加药学查房患者覆盖面、开展高危妊娠及辅助生殖等重点患者药学监护工作,加强与医护人员和患者的沟通及宣传等措施。实施后,与2013年比较,2014年各项临床药学服务质量指标提高,如药学查房患者由每月445人次增加至1 780人次,合理用药干预建议总数量从14份提高至29份,药学会诊的总数量由8次提高至23次;且医护、患者对临床药学服务的满意度也分别由55.93%、45.95%分别提高至100%、92.10%。结论:应用PDCA循环管理方法能明显提升我院临床药学服务质量和满意度,促进我院临床药学服务水平的不断提高。OBJECTIVE：To investigate the application effect of PDCA circulation method in clinical pharmaceutical care.METHODS：According to the method of PDCA cycle,clinical pharmaceutical care quality and satisfaction degree of physicians,nurses and patients in 2013 were investigated to find out the problems;the reasons were analyzed and countermeasures were made out,checked and implemented. Finally,the quality of clinical pharmaceutical care,the medical staff and patient＇s satisfaction with clinical pharmaceutical care were compared before and after the implementation of PDCA circulation. RESULTS：Due to the poor quality of clinical pharmaceutical care and low satisfactory degree of our hospital,we formulated related countermeasures,such as enhancing the medication service skill of clinical pharmacists in obstetrics and gynecology department,extending the coverage of pharmaceutical ward round,developing the pharmaceutical care for patients with high risk pregnancy or underwent assisted reproduction,strengthening communication and propaganda of medical staff and patients. After the implementation of countermeasures,the quality indicators of clinical pharmaceutical care were improved in 2014,compared to 2013,such as the number of patients included in pharmaceutical ward round increased from 445 to 1 780;total number of reasonable medication intervention suggestion increased from 14 to 29;that of pharmaceutical consultation increased from 8 to 23;the satisfaction degree of medical staff and patients improved from 55.93% and 45.95% to 100% and 92.10%,respectively. CONCLUSIONS：PDCA circulation can significantly improve the quality of clinical pharmaceutical care and satisfactory degree of our hospital,and promote pharmaceutical care of our hospital.

关 键 词：PDCA循环管理方法 临床药学服务 妇产科医院 满意度 

分 类 号：R95[医药卫生—药学]