PDCA循环管理法在提升临床药学服务质量中的应用效果  

Application effect of PDCA circulation management method in improving the quality of clinical pharmaceutical care in our hospital

作　　者：刘志伟[1] 余灵芝[1] LIU Zhiwei;YU Lingzhi(Department of Pharmacy, Zhejiang Taizhou Hospital, Taizhou 317000, China)

机构地区：[1]浙江省台州医院药剂科

出　　处：《中国临床药学杂志》2019年第5期363-366,共4页Chinese Journal of Clinical Pharmacy

摘　　要：目的探讨PDCA循环管理法在住院患者临床药学服务中的应用效果。方法按照PDCA循环的计划、实施、检查和行动程序,收集患者的病历资料和临床药师的工作记录,分别统计对照组(2017年7-12月)和研究组(2018年1-6月)患者的医师接受干预率、合理用药率、药物不良反应发生率、患者疾病转归结果、药物治疗费用及药师的服务满意度等指标。结果研究组患者的医师接受临床药师干预率(95.22%vs 91.51%)、合理用药率(96.00%vs 91.67%)、疾病治疗有效率(93.81%vs 87.99%)与药师服务满意度(99.92%vs 95.80%)明显高于对照组(P<0.05);而药物不良反应发生率(7.84%vs 10.09%)、人均药物费用[(1 843±208.16)元vs(2 015±211.70)]元明显低于对照组(P<0.05),初步实现预期目标。结论通过PDCA质量管理工具的应用,促进临床的合理用药,降低药物的不良反应,提高药物治疗的经济性,以及增加患者对药师服务的满意度,从而改善临床药学的服务质量,提升医院的综合管理水平。AIM To expl ore the application effect of plan-do-check-action ( PDCA) circulation management in clinical pharmaceutical care of inpatients, and to provide reference for improving the quality of clinical pharmaceutical care. METHODS According to the PDCA cycle planning, implementation, examination and action procedures, the patient' s medical records and clinical pharmacis' s work records were collected, and the intervention rate, rational drug use rate, incidence of adverse drug reactions of the control group (from July 2017 to December 2017 ) and the research group ( from January 2018 to June 2018 ) were statistically analyzed. The prognosis of patients ,the cost of drug treatment and the satisfaction degree of pharmacists * services were indexed. RESULTS The intervention rate (95. 22% vs 91.51 %), rational drug use rate (96. 00% vs 91.67%), disease treatment efficiency (93.81 % vs 87. 99%) and pharmacist service satisfaction (99. 92% vs 95. 80%) of the study group were significantly higher than those of the control group ( P < 0. 05 ), while the incidence of adverse drug reactions (7. 84% vs 10. 09%) and the per capita drug cost [(1 843 ± 208. 16) yuan vs (2 015 ± 211.70 ) yuan ] were significantly lower. In the control group ( P < 0. 05 ), the expected goal was initially achieved. CONCLUSION Through the application of PDCA quality management tools, we can promote rational clinical use of drugs, reduce adverse drug reactions, improve the economy of drug treatment and increase patients' satisfaction with pharmacist services, so as to improve the quality of clinical pharmaceutical services and enhance the comprehensive management level of hospitals.

关 键 词：PDCA循环管理法 临床药学服务 合理用药 

分 类 号：R95[医药卫生—药学]