根因分析法在药库管理中的应用与实践  

Application and practice of root cause analysis(RCA)in drug warehouse management

作　　者：郑解元 杨嘉永[1,2] 梁嘉莹 ZHENG Jieyuan;YANG Jiayong;LIANG Jiaying(The First Affiliated Hospital of Xiamen University,Xiamen Pharmaceutical Comprehensive Management Quality Control Center,Fujian Xiamen 361003,China;School of Pharmacy,Fujian Medical University,Fujian Fuzhou 350122,China)

机构地区：[1]厦门大学附属第一医院,厦门市药事综合管理质量控制中心,福建厦门361003 [2]福建医科大学药学院,福建福州350122

出　　处：《中国医院药学杂志》2023年第24期2829-2832,共4页Chinese Journal of Hospital Pharmacy

摘　　要：目的:应用根因分析法(root cause analysis, RCA)对药库管理中出现的1例临界差错进行分析,以提高药库药品管理水平。方法:成立RCA小组,对事件进行梳理和复盘,并利用头脑风暴会议、鱼骨图分析法、“5why”分析法等分析近端原因和根本原因,并制定改进方案。结果:根据根本原因分析结果针对性地制定了改善,从工作制度、信息流程、业务培训、有效沟通等4个方面进行改进。结论:通过积极、有效地分析药品价格错误发生的根本原因,发现了日常管理中许多不足之处并实施有效的干预措施,提高了药库管理水平。OBJECTIVE To apply root cause analysis(RCA)to analyze a critical error in drug warehouse management,in order to improve the level of drug warehouse management.METHODS Establish an RCA team to sort out and review events,and use brainstorming sessions,fishbone analysis,and 5why analysis to analyze proximal and root causes,and develop improvement plans.RESULTS According to the results of RCA,targeted improvement actions have been formulated.Improve from four aspects:work system,information process,business training,and effective communication.CONCLUSION By actively and effectively analyzing the root causes of drug price errors,many shortcomings in daily management have been identified and effective intervention measures have been implemented,improving the level of drug warehouse management.

关 键 词：根因分析法 药库管理 药品临界差错 

分 类 号：R95[医药卫生—药学]