利用品管圈提高我院住院麻醉处方合格率的探讨  

Discussion on Using Quality Control Circle to Improve the Qualified Rate of Anesthesia Prescription in Our Hospital

作　　者：焦亿[1] 宋永熙[1] 张婧[1] 周俊洪 海鑫 JIAO Yi;SONG Yong-xi;ZHANG Jing;ZHOU Jun-hong;HAI Xin(Department of Pharmacy,The First Affiliated Hospital of Harbin Medical University,Harbin 150001,China;Department of Pharmacy,Chengdu Second People's Hospital,Chengdu 610021,China)

机构地区：[1]哈尔滨医科大学附属第一医院药学部,哈尔滨150001 [2]四川省成都市第二人民医药学部,成都610021

出　　处：《中国药学杂志》2020年第11期951-954,共4页Chinese Pharmaceutical Journal

摘　　要：目的探讨品管圈管理在提高住院麻醉药品处方合格率的应用效果。方法组建品管圈,利用80/20法则和鱼骨图探讨我院住院麻醉药品处方不合格的原因,确定提高处方合格率的对策,通过对策的实施与检讨,比较品管圈管理前后的处方合格率变化。结果利用品管圈管理,2018年我院住院麻醉药品处方质量显著提高,合格率由2017年的70.07%提高到2018年97.78%,高于目标值6.69%。持续品管圈管理后,2019年前三季度处方合格率提高到99.33%。结论品管圈活动的开展能够有效地提升住院麻醉药品处方的合格率,既规范了麻醉药品的使用、促进患者用药安全,又提高了药师综合素养和医院药学服务的质量。OBJECTIVE To explore the application effect of quality control circle management in improving the qualified rate of anesthetic drugs prescription in hospital.METHODS The quality control circle was established to explore the causes of the unqualified anesthetic drugs prescription in our hospital by using the 80/20 rule and fish-bone diagram.The measures to improve the prescription pass rate were determined,and the changes of the prescription pass rate before and after QCC management were compared through the implementation and review of the measures.RESULTS Using the management of quality control circle,the prescription quality of inpatient anesthetic drugs was significantly improved in our hospital in 2018 and the qualified rate increased from 70.07%in 2017 to 201897.78%above target value of 6.69%.After continuous quality control circle management,the qualified rate of prescription increased to 99.33%in the first three quarters of 2019.CONCLUSION The development of QCC can effectively improve the qualified rate of anesthetic drugs prescription in hospital,not only standardizing the use of anesthetic drugs,promoting drug safety of patients,but also improving the comprehensive quality of pharmacists and the quality of hospital pharmaceutical care.

关 键 词：品管圈 麻醉药品 住院处方 处方点评 

分 类 号：R969[医药卫生—药理学]