PDCA循环管理方法应用于我院三级综合医院复审过程中药事管理的体会  

Application of PDCA Cycle Management Method in Pharmacy Management of Three-level General Hospitals Re-accreditation in Our Hospital

作　　者：张永[1] 卢智[1] 郭丹[2] 

机构地区：[1]南方医科大学南方医院医务处,广州510515 [2]南方医科大学南方医院药学部,广州510515

出　　处：《中国药房》2016年第10期1305-1307,共3页China Pharmacy

基　　金：广东省科技计划项目(No.2011B031800128)

摘　　要：目的:探讨PDCA循环管理方法应用于我院三级综合医院复审过程中药事管理的可行性,促进医院药事管理工作持续改进。方法:对照《三级综合医院评审标准实施细则(2011版)》,运用PDCA循环管理方法对医院药事管理进行督导检查,针对发现的问题采取制定《超说明书用药管理规定》和重新修订《高危药品管理制度》等措施,并进行实施和持续改进。结果:采用PDCA循环管理后,在复审前后对比,门诊药房处方调配差错率由原来0.031 4%降低为0.019 2%;中心药房摆药差错发生次数下降了60.2%,账物相符准确率由原来的87.14%提高到97.32%;静脉药物集中调配中心冲配错误率由原来的5.6袋/周降为1.8袋/周,下降了67.86%;激素类药物不合格处方及医嘱比例从19.26%下降到4.23%。结论:运用PDCA循环管理方法对三级综合医院复审过程中药事管理工作进行督导检查,针对性地建立相关制度并严格执行,使药事管理工作得以持续改进。OBJECTIVE：To investigate the application and feasibility of the PDCA cycle management method in pharmacy management of three-level general hospital re-accreditation in our hospital and promote continuous improvement of hospital pharmacy management. METHODS：Referring to 2011 edition of Detailed Rules for Three-level General Hospital Accreditation,the work of hospital pharmacy management was checked and continually improved based on the PDCA cycle management method. RESULTS：After the application of PDCA,prescription error rate in outpatient pharmacy dropped from 0.031 4% to 0.019 2%;the number of dispense error in center pharmacy decreased by 60.2% and the accuracy rate of drug stock increased from 87.14% to97.32%;the number of dispensing errors in pharmacy intravenous admixture service reduced from 5.6 bags/week to 1.8 bags/week,and the error rate reduced by 67.86%;the proportions of irrational prescriptions of glucocorticoid drugs dropped from 19.26% to4.23%. CONCLUSIONS：The application of PDCA cycle management method in pharmacy management of three-level general hospital reaccreditation and the establishment of relevant system can obviously improve the work of pharmacy management continuously.

关 键 词：三级综合医院 PDCA循环 药事管理 

分 类 号：R969.3[医药卫生—药理学]