基于PDCA循环的医院门诊不合理处方干预管理体系的构建  

Construction of Irrational Prescription Intervention Management System Based on PDCA Cycle in Hospital Outpatients

作　　者：孙梦茹[1] 蒋军 游一中 王莉英[1] 谢崟 SUN Mengru;JIANG Jun;YOU Yizhong;WANG Liying;XIE Yin(Department of Pharmacy,the Third Affiliated Hospital of Soochow University,the First People’s Hospital of Changzhou City,Changzhou 213003,China)

机构地区：[1]苏州大学附属第三医院常州市第一人民医院药事科

出　　处：《医药导报》2020年第2期250-255,共6页Herald of Medicine

基　　金：国家自然科学基金青年科学基金项目(81503136);常州市科技计划指导性项目(2014271)

摘　　要：目的构建基于PDCA循环的医院门诊不合理处方干预管理体系。方法检查门诊存在的不合理处方,分析问题产生的原因:协定处方设置错误、跨科用药不熟悉、系统限定开本科室诊断、为节约时间诊断书写不全、药师错误反馈不到位、患者要求加开其他药品、医疗管理部门未介入、无合格用法用量选项、医生药学知识不完善。针对上述问题,2017年3—8月,运用PDCA管理模式进行持续改进。结果门诊不合理处方率由改善前1.15%降至0.45%,改善幅度为60.9%。结论PDCA循环管理模式能有效降低门诊处方不合理率,提高门诊处方质量,促进合理用药。Objective To construct a management system for irrational prescription intervention in outpatients based on PDCA cycle.Methods Examined the irrational prescriptions in outpatients,and analyze the causes of the cases:incorrect setting of cipher prescription,unfamiliar cross-department drug use,system-limited prescription from self-department diagnosis,hasty diagnosis writing,pharmacists’inadequate feedback,patients’additional requests for other medicines,no intervention from the medical management department,no qualified usage and dosage options,and incomplete doctors’pharmaceutical knowledge.In response to the above issues,continuous improvement was implemented from March 2017 to August 2017 using the PDCA management model.Results The irrational prescription rate in outpatients was reduced from 1.15%to 0.45%,and the improvement rate was 60.9%.Conclusion PDCA cycle management could effectively reduce the irrational rate of outpatient prescriptions,improve the quality of outpatient prescriptions,and promote rational drug use.

关 键 词：PDCA循环 不合理处方 干预 

分 类 号：R95[医药卫生—药学]