PDCA循环提升门诊处方合格率的分析  

Analysis of PDCA Cycle in Improving the Qualified Rate of Outpatient Prescriptions

作　　者：何光照 白宏 郎晓青 何丽霞 薛宏波 

机构地区：[1]常州市肿瘤医院,江苏常州213032

出　　处：《药物流行病学杂志》2016年第3期160-162,共3页Chinese Journal of Pharmacoepidemiology

基　　金：常州四药临床药学科研基金指导性项目(编号:2014279)

摘　　要：目的：探讨PDCA循环在提升门诊处方合格率的实践成效。方法：根据2014年8~12月每月的门诊处方点评报告,对不合格处方的问题分阶段开展PDCA循环,并统计性评价采取PDCA循环对处方合格率的改善效果。结果：经过两个阶段的持续改进,采取有针对性干预措施。开展PDCA循环前后某院门诊处方合格率分别为83.3%（2014年8月）、90.0%（2014年10月）、92.1%（2014年12月）。门诊处方合格率、不规范处方构成比及其主要表现形式构成比,较前明显改善（P〈0.05）。结论：PDCA循环对提升门诊处方合格率有积极作用,成功运用PDCA循环的关键在于实施人以切实有效的行动去解决实际问题。Objective： To investigate the practicing effect of PDCA cycle in improving the qualified rate of outpatient prescriptions. Methods： Based on the monthly reports of prescription audits between August and December,2014,PDCA cycle was employed periodical for problem of unqualified prescriptions,and evaluated the practicing effect statistically in improving qualified rate of prescription. Results： Intervention measures were taken from 2 stages of continuous improvement. The qualified rates of outpatient prescriptions in our hospital were 83. 3%（ August,2014）,90. 0%（ October,2014） and 92. 1%（ December,2014） during the PDCA cycles. The qualified rate of outpatient prescriptions,the constituent ratio of irregular prescriptions and corresponding performance forms were significantly improved（ P〈0. 05）. Conclusion： PDCA cycle had a positive effect on improving the qualified rate of outpatient prescription,and it emphasized that the practical and effective actions were taken to solve realistic problems.

关 键 词：PDCA循环 处方点评 门诊处方 合理用药 

分 类 号：R97[医药卫生—药品]