基于PDCA循环理论对疫情期间影响门诊药房药品调配效率的因素分析  

Analysis of Factors Affecting the Drug Dispensing Efficiency in Outpatient Pharmacy during the Epidemic Based on PDCA Cycle Theory

作　　者：张卫[1] 秦琼[1] 陈蓉[1] 魏巍[1] 朱建国[1] ZHANG Wei;QIN Qiong;CHEN Rong;WEI Wei;ZHU Jian-guo(The First Affiliated Hospital of Soochow University,Suzhou Jiangsu 215006,China)

机构地区：[1]苏州大学附属第一医院,江苏苏州215006

出　　处：《抗感染药学》2023年第2期156-160,共5页Anti-infection Pharmacy

基　　金：苏州市科技计划民生科技项目(编号:SYSD2020179);江苏省药学会科研项目资助项目(编号:H202023);江苏省药学会奥赛康医院药学基金项目(编号:A201813);江苏省研究型医院学会精益化用药科研基金(编号:JY202025)。

摘　　要：目的:分析医院新冠感染(COVID-19)疫情期间影响门诊药房药品调配效率的因素,以提高药品调配效率。方法:组建品管圈(quality control circle,QCC)团队,基于计划(Plan)—D实施(Do)—C检查(Check)—A处置(Action)的PDCA循环理论严格执行QCC十大步骤,依托医院信息系统,针对影响医院门诊药房药品调配效率的因素进行现状调查、目标设定、拟定对策并组织实施、持续改进,以目标达成率评价QCC活动效果。结果:在QCC活动中,针对人员和设备、方法、环境等因素拟定筛选药品目录、优化药品定位、研发药品自动核对系统,减少调配差错,寻找发药机卡槽的原因,研发智慧药房可视化系统,加强绩效考核,制定员工培训制度手册等相应对策;门诊药房处方调配效率由37.90张/h提高至58.59张/h,药品调配效率明显提升,目标达标率为105.75%,进步率为57.73%。结论:疫情期间,开展QCC活动提高了药品调配效率,提升了员工的工作效率,缩短了患者候药时间,提高了患者对药学服务的满意度。Objective:To analyze the factors affecting the drug dispensing efficiency in the outpatient pharmacy of the hospital during the epidemic of COVID-19,so as to improve the drug dispensing efficiency.Methods:A quality control circle(QCC)team was established to strictly implement the ten steps of QCC based on PDCA cycle theory.Relying on the hospital information system(HIS),the current situation of factors affecting the drug dispensing efficiency in the outpatient pharmacy of the hospital was investigated,goals were set,countermeasures were formulated,implemented and continuously improved,and the effect of QCC activities was evaluated by the goal achievement rate.Results:In the QCC activities,targeted at factors such as personnel and equipment,methods and environment,a screening drug catalog was developed,drug positioning was optimized,and an automatic drug verification system was developed to reduce dispensing errors,the cause of drugs stuck in slots of drug dispensing machine was identified,a smart pharmacy visualization system was developed,performance evaluation was strengthened,and corresponding countermeasures such as employee training system manual were developed.The prescription dispensing efficiency in the outpatient pharmacy increased from 37.90 sheets/h to 58.59 sheets/h,and the drug dispensing efficiency improved significantly,with a target compliance rate of 105.75%and a progress rate of 57.73%.Conclusion:During the epidemic,QCC activities have improved the drug dispensing efficiency,improved the efficiency of employees,shortened the waiting time of patients,and increased the patient satisfaction with pharmaceutical services.

关 键 词：品管圈 药品调配效率 门诊药房 影响因素 

分 类 号：R95[医药卫生—药学]