品管圈在降低自动摆药机调剂差错率中的应用  

Reducing Dispensing Error Rate of Automatic Drug Dispensing Machine by the Application of Quality Control Circle

作　　者：熊应权[1] 

机构地区：[1]天津市海河医院药剂科,天津300350

出　　处：《中国药房》2016年第28期3952-3954,共3页China Pharmacy

摘　　要：目的:降低住院药房自动摆药机调剂差错率,促进用药安全。方法:通过品管圈活动,分析我院住院药房自动摆药机调剂差错的原因并制订相应改进措施,评价活动前后的有形成果和无形成果。结果:自动摆药机调剂差错主要表现为医嘱录入错误和药品串袋等,引起原因主要包括人为因素及软硬件因素。通过对相关人员进行培训、宣传和沟通,以及调整机器中部件的位置、大小、药品数量及增加核对等多项措施,自动摆药机调剂差错率由1.806%降低到0.397%,无形成果均为正向成长;并对各项操作制订了标准操作流程。结论:采用品管圈方法,可有效降低自动摆药机调剂差错率,提高药学服务水平。OBJECTIVE： To reduce the dispensing error rate of automatic drug dispensing machine, and to promote the safety of drug use. METHODS： Through quality control circle （QCC） activity, the reasons for the dispensing errors of automatic drug dispensing machine were analyzed to formulate relevant improvement measures. Tangible achievement and intangible achievement were evaluated before and after QCC activity. RESULTS： The dispensing errors of automatic drug dispensing machine mainly included prescription entry error and bagging error, etc. The main reasons contained human factor, software and hardware factor. A series of countermeasures were adopted, such as staff training, propaganda and communication, adjusting the position and size of machine parts and the number of drugs, increasing drug checking. The error rate of automatic drug dispensing machine was reduced from 1.806% to 0.397%. The intangible achievement increased positively. Standard flow chart was formulated for each operation item. CONCLUSIONS ： QCC can effectively reduce dispensing error of automatic drug dispensing machine and improve pharmaceutical care.

关 键 词：自动摆药机 品管圈 住院药房 调剂差错 

分 类 号：R952[医药卫生—药学]