运用品管圈方法降低门诊医生差错处方率  

Using Quality Control Method to Reduce the Prescription Rate of Outpatient Doctors

作　　者：唐文雯[1] 曾颖[1] 佃少娜[1] 曾依新[1] 揭木有 朱红球[1] 

机构地区：[1]广东省人民医院,广东广州510080

出　　处：《深圳中西医结合杂志》2017年第20期180-182,共3页Shenzhen Journal of Integrated Traditional Chinese and Western Medicine

摘　　要：目的:运用品管圈(QCC)方法降低门诊医生差错处方率。方法:由广东省人民医院门诊药房药师自愿组成QCC,利用品质管理的方法对门诊医生差错处方进行现状分析、绘制鱼骨图、查找真因,最后针对性地采取"加强药品信息个体化维护"、"加强医师-药师沟通"、"行政干涉"等对策进行干预。统计及对比活动前后各15 d的差错处方情况,观察改善效果,并将有效措施制订为标准作业书。结果:通过加强药品信息维护、与医生沟通等方式,门诊医生差错处方发生率由活动前的0.32%下降至活动后的0.13%,改善幅度为59.4%,超过改善预期目标值0.22%。门诊药师工作的软环境也得到了相应改善。结论:药师利用QCC方法可以降低门诊医生差错处方发生率,同时可以提高药师工作效率,保证患者用药安全,提高医院医疗质量。Objective To reduce the incidence of outpatient prescription errors. METHODS： The staff of outpatient pharmacy make a quality control circle（QCC） in accordance with the principle of voluntary. Analyze the current situation, draw the fishbone diagram, find true reasons of outpatient prescription errors using the quality control methods and finally, pertinently take measures of ＂strengthening drug information individual maintenance＂, ＂strengthening communication between physicians and clinic doctors ＂, ＂administrative communication＂ etc. to intervene. Through the comparison and statistics of the prescription error situation of the 15 days＇ before and after, observe the improvement effect, and make the effective measures for SOP. RESULTS： The incidence of error outpatient prescription drop from 0.32 % to 0.13 %, the rate of improvement is as much as 54.9 %, which is much higher than the expected target 0.22 %. The soft environment of staff also has a corresponding improvement. CONCLUSIONS： QCC could reduce the incidence of outpatient prescription error, improve work efficiency of the staff, and ensure the patient medication safety and finally improve the medical quality of hospital.

关 键 词：品管圈 门诊药师 门诊医生 差错处方率 

分 类 号：R952[医药卫生—药学]