基于六西格玛DMAIC模型建立及实施门诊处方前置审核系统  

Establish and implement a pre-prescription system for outpatient based on Six Sigma DMAIC model

作　　者：汪琳 余建国 李晓 栾家杰 WANG Lin;YU Jianguo;LI Xiao;LUAN Jiajie(Department of Clinical Pharmacy,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,Anhui,China)

机构地区：[1]皖南医学院第一附属医院临床药学科,安徽芜湖241001

出　　处：《中国临床药理学与治疗学》2023年第7期780-787,共8页Chinese Journal of Clinical Pharmacology and Therapeutics

基　　金：皖南医学院教学质量与教学改革工程项目(2022zyrc01);皖南医学院弋矶山医院管理与服务创新项目(CX2023014);高等学校省级质量工程项目(2022zybj103)。

摘　　要：目的:应用六西格玛DMAIC模型建立及实施门诊处方前置审核系统,保障患者用药安全,促进临床合理用药。方法:运用六西格玛法定义、测量、分析、改进与控制等步骤,科学、精细化制定审方规则库,通过系统拦截和药师干预模式,建立和完善我院处方前置审核系统,并持续优化流程管理。结果:我院门诊处方前置审核系统规则制定较为合理,临床认可度、接受度较高。系统审核后医师修改率平均为76.32%,药师干预率平均为63.23%,药师干预有效率平均为97.23%,合格率平均为96.87%,处方合理率较高。结论:基于六西格玛DMAIC模型建立及实施门诊处方前置审核系统,提高了门诊合理用药水平,有效保障了患者用药安全。AIM:The pre-prescription system of outpatient was established and implemented based on six sigma DMAIC model to ensure the safety of drug use and promote rational of drug use.METHODS:The rules database was made scientifically and precisely,according to DMAIC model of Six Sigma--define,measure,analyze,improve and control.The pre-prescription system of our hospital was established and improved,through adopting the prescription review mode of interception and Intervention.And the process management was continued to optimize.RESULTS:The rule-making of pre-trial system for outpatient prescription in our hospital was reasonable,and the rate of clinical approval and acceptance was high.After the system audit,the average rate of doctor's revision was 76.32%,and the average rate of Pharmacist's intervention was 63.23%,the effective rate and qualified rate of pharmacist intervention were 97.23%and 96.87%,respectively.CONCLUSION:Based on Six Sigma DMAIC model,the pre-trial system for outpatient prescription was established and implemented,which improved the level of rational drug use,effectively ensured the safety of drug use,and improved the satisfaction of patients.

关 键 词：六西格玛 DMAIC 门诊处方 处方前置审核 合理用药 

分 类 号：R97[医药卫生—药品]