PDCA循环管理干预静脉用药调配中心处方审核的效果  

Effect of PDCA in prescription audit of pharmacy intravenous admixture services

作　　者：王岩岩[1] 高婕[1] 刘龑 吕昌亮 单亚男 孙乐乐[1] WANG Yan-yan;GAO Jie;LIU Yan;LYU Chang-liang;SHAN Ya-nan;SUN Le-le(Intravenous Drug Dispensation Center,Zibo Central Hospital,Shandong Province,Zibo255036,China)

机构地区：[1]山东省淄博市中心医院静脉用药调配中心,山东淄博255036

出　　处：《中国当代医药》2020年第28期167-170,共4页China Modern Medicine

基　　金：山东省淄博市重点研发计划(2018kj010091)。

摘　　要：目的探讨PDCA循环管理在静脉用药调配中心处方审核中的作用。方法跟踪2016~2019年各年不合理医嘱,采用PDCA循环管理方法发现不合理医嘱审核现状,分析原因,制订相应的目标及措施并持续改进,2016年为实施干预前,2017年(第一轮干预)、2018年(第二轮干预)和2019年(第三轮干预)为实施干预后,分析比较干预前后不合理医嘱前置审核率及不合理医嘱类型占比情况。结果实施三轮干预后,第二轮、第三轮干预不合理医嘱前置审核率均高于干预前,差异有统计学意义(P<0.05);第三轮干预不合理医嘱前置审核率高于第二轮干预,差异有统计学意义(P<0.05);第一轮干预不合理医嘱前置审核率与干预前比较,差异无统计学意义(P>0.05)。第三轮干预不合理医嘱类型占比低于干预前,差异有统计学意义(P<0.05),第二轮干预不合理医嘱类型占比与干预前比较,部分类型差异有统计学意义(P<0.05),第一轮干预不合理医嘱类型占比与干预前比较,差异无统计学意义(P>0.05)。结论PDCA循环管理能有效提升医嘱前置审核率,降低不合理医嘱类型比例,促进临床合理用药。Objective To explore the effect of plan-do-check action(PDCA)in prescription auditing of pharmacy intravenous admixture services(PIVAS).Methods Tracked unreasonable medical orders from 2016 to 2019,the PDCA method was used to discover the status of unreasonable medical orders,so as to analyze the reason,formulate corresponding goals and measures and continuous improvement.the reasons were analyzed,corresponding goales and measures were formulated,then to maked continuous improvement,2016 was before intervention,2017(the first round of intervention),2018(the second round of intervention)and 2019(the third round of intervention)were after the implementation of the intervention.The pre-audit rate of unreasonable medical orders and the proportion of unreasonable medical orders were analyzed before and after intervention.Results After the implementation of three rounds of intervention,the pre-audit rate of unreasonable medical orders in the second and the third rounds of intervention were higher than those before intervention,the differences were statistically significant(P<0.05).The pre-audit rate of unreasonable medical orders in the third round of intervention was higher than that in the second round,the difference was statistically significant(P<0.05).There was no significant difference in the pre-audit rate of unreasonable medical orders between the first round of intervention and before intervention(P>0.05).The proportion of unreasonable medical orders in the third round of intervention was lower than that before intervention,and the difference was statistically significant(P<0.05).The second round of intervention,some proportion of unreasonable medical orders were compared with those before intervention,the differences were statistically significant(P<0.05).There was no significant difference in the proportion of unreasonable medical orders between the first round of intervention and before intervention(P>0.05).Conclusion PDCA circulation management can effectively promote the pre-audit rate of medical orders,r

关 键 词：PDCA 静脉用药调配 不合理医嘱 前置审核 

分 类 号：R95[医药卫生—药学]