住院药房应用PDCA循环管理减少调剂差错及退药率的实践研究  

Practical Research on Application of PDCA Cycle Management in Inpatient Pharmacies to Reduce Dispensing Errors and Drug Withdrawal Rates

作　　者：张婕斐[1] 郑涤凡 钟月春 薛梅[1] 叶锦标[1] ZHANG Jiefei;ZHENG Difan;ZHONG Yuechun;XUE Mei;YE Jinbiao(Department of Pharmacy,Huizhou Central People's Hospital,Huizhou,Guangdong Province,516001 China)

机构地区：[1]惠州市中心人民医院药学部,广东惠州516001

出　　处：《中国卫生产业》2022年第4期37-40,共4页China Health Industry

基　　金：药房管理系统的优化及处方前置审核系统实施的应用研究(190415094572974)。

摘　　要：目的探讨住院药房应用PDCA循环管理减少调剂差错及退药率的应用价值。方法选取该院2018年6月—2019年9月住院药房的433891件药品,实施传统管理措施,纳入对照组;选取2020年1月—2021年4月住院药房的441740件药品,实施PDCA循环法管理措施,纳入观察组。比较两组调剂差错率、退药率。结果观察组总调剂差错率0.018%明显低于对照组0.028%,差异有统计学意义(P<0.05);观察组退药次数、退药品种、退药总数及退药率均显著低于对照组,差异有统计学意义(P<0.05)。结论PDCA循环法能有效减少住院药房员工调剂差错次数、临床科室退药次数。Objective To explore the application value of PDCA cycle management in inpatient pharmacies to reduce dispensing errors and drug withdrawal rates.Methods 433891 drugs from the inpatient pharmacy of the hospital from June 2018 to September 2019 were selected,implemented traditional management measures and included in the control group;441740 drugs from inpatient pharmacies from January 2020 to April 2021 were selected,and PDCA circulation management measures were implemented and included in the observation group.The dispensing error rate,drug withdrawal rate were compared between the two groups.Results The total dispensing error rate of the observation group was 0.018%,which was significantly lower than that of the control group 0.028%,and the difference was statistically significant(P<0.05).The number of withdrawals,the types of withdrawals,the total number of withdrawals and the withdrawal rate in the observation group were significantly lower than those in the control group,and the difference was statistically significant(P<0.05).Conclusion The PDCA cycle method can effectively reduce the number of dispensing errors by inpatient pharmacy staff and the number of drug withdrawals in clinical departments.

关 键 词：住院药房 PDCA循环 调剂差错率 退药率 药房信息系统优化 

分 类 号：R952[医药卫生—药学]