采用PDCA循环管理方法干预小袋包装中药配方颗粒调剂的效果分析  被引量:57

Analysis of Effect Evaluation of PDCA Cycle Management Intervening in Small Package of TCM Formula Granule Dispensing

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作  者:卢兴[1] 钟慧[1] 陈彪[1] 黄玲[1] 钟波[1] 陈洁 王艳宁[1] LU Xing;ZHONG Hui;CHEN Biao;HUANG Ling;ZHONG Bo;CHEN Jie;WANG Yanning(Dept. of Pharmacy,Nanning First People’s Hospital,Nanning 530022,Chin)

机构地区:[1]南宁市第一人民医院药学部,南宁530022

出  处:《中国药房》2018年第11期1466-1469,共4页China Pharmacy

基  金:广西壮族自治区卫生和计划生育委员会自筹经费科研课题(No.Z20170041)

摘  要:目的:提高小袋包装中药配方颗粒的调剂质量,降低调剂差错率、缩短摆药时间。方法:对我院中药房小袋包装中药配方颗粒的调剂,从"人、机、环、法、物"5个方面找出关键影响因素进行两轮PDCA循环管理干预。比较PDCA循环管理干预前(2015年7-12月,A组)、第1轮PDCA循环管理干预组(2016年1-6月,B组)、第2轮PDCA循环管理干预组(2016年7-12月,C组)3个阶段的调剂内差、摆药时间,评价管理效果。结果:通过改善调剂环境、建立调剂标准操作规程、制订奖惩制度、人员培训等整改措施,经过两轮PDCA循环管理干预后,我院中药房小袋包装中药配方颗粒的调剂差错率由干预前A组的4.19%(170/4 061)下降至干预后B、C组的1.69%(85/5 043)、0.98%(53/5 408)(P<0.05或P<0.01),剂数为7剂的处方平均摆药时间由干预前A组的(9.08±2.56)min缩短至干预后B、C组的(7.37±1.98)、(5.97±1.64)min(P<0.05)。结论:我院实施的PDCA循环管理干预可降低小袋包装中药配方颗粒的调剂差错率、缩短摆药时间。OBJECTIVE:To improve dispensing quality of small package of TCM formula granule, reduce the rate of dispensing error and shorten dispensing time. METHODS:Key influential factors for small package of TCM formula granule dispensing in our hospital were found out from 5 respects of"man,machine,environment,method,material";two cycles of PDCA cycle management intervention were conducted. Dispensing internal error and dispensing time were compared before PDCA cycle management intervention(Jul.-Dec. 2015,group A),first cycle of PDCA cycle management intervention(Jan.-Jun. 2016,group B)and second cycle of PDCA cycle management intervention(Jul.-Dec. 2016,group C),the effects of management were evaluated. RESULTS:By improving dispensing environment,establishing dispensing standard operation procedure,formulating reward and punishment system,staff training,after 2 cycles of PDCA cycle management intervention,the rate of small package ofTCM formula granule dispensing error in TCM pharmacy of our hospital decreased from 4.19%(170/4 061) before intervention that of group A to 1.69%(85/5 043)and 0.98%(53/5 408)in group B and C after intervention(P〈0.05 or P〈0.01). Average dispensing time of each prescription with 7 doses were shortened from(9.08±2.56)min before intervention(group A)to(7.37±1.98),(5.97±1.64)min in group B and C after intervention(P〈0.05). CONCLUSIONS:PDCA cycle management intervention in our hospital can reduce the rate of small package of TCM formula granule dispensing error and shorten dispensing time.

关 键 词:PDCA循环管理 小袋包装 中药配方颗粒 调剂差错 摆药时间 干预效果 

分 类 号:R95[医药卫生—药学]

 

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