Developing a"1+X"pharmaceutical consultation model through the PDCA cycle  

基于PDCA循环的“1+X”药学会诊模型的构建

作　　者：Tiantian Xu Xiaoling Song Xuanying Chen Yanni Lv 胥甜甜;宋小玲;陈璿瑛;吕燕妮(南昌大学第一附属医院药学部,江西南昌330004)

机构地区：[1]Department of Pharmacy,The First Affiliated Hospital of Nanchang University,Nanchang 330004,Jiangxi,China

出　　处：《Journal of Chinese Pharmaceutical Sciences》2024年第11期1001-1011,共11页中国药学（英文版）

基　　金：Jiangxi Provincial Hospital Pharmacy Special Research Fund Project(Grant No.2024-ZXYJ02);Jiangxi Provincial Department of Education Project(Grant No.200227)。

摘　　要：To improve the efficiency and precision of our pharmacy consultation services,we adopted a"1+X"model based on the PDCA(Plan-Do-Check-Act)cycle.In the initial analysis,we identified factors contributing to suboptimal consultation efficiency.Our approach included a thorough examination of our pharmacy consultation system,encompassing personnel training,consultation promotion,and the refinement of the consultation process.A standardized pharmacy consultation model was devised and continually refined,with a primary focus on infectious diseases.Subsequently,the model expanded to include various medical specialties,fostering multi-disciplinary participation.Since the implementation of the"1+X"pharmacy consultation model,spanning from 2017 to 2022,consultation numbers exhibited a consistent annual growth exceeding 50%.In 2022 alone,5044 pharmaceutical consultations were conducted,encompassing 3007 standard consultations and 96 expanded consultations across diverse departments such as neurosurgery and neurology.The adoption rate of consultation recommendations reached 89.2%,while the effectiveness of consultation treatments stood at an impressive 76.4%.This success underscored the impact of the"1+X"pharmacy consultation model on enhancing consultation outcomes.Collectively,our model,rooted in the PDCA cycle,not only served as a practical blueprint for pharmacy consultation systems in medical institutions but also provided valuable insights and a robust framework for the professional development and training of clinical pharmacists.为了提高工作效率和准确性,我们构建了基于PDCA循环的“1+X”药学会诊模式。通过分析现状,查找会诊效率低的原因,从人员培训、会诊宣传、会诊流程优化等方面探索药学会诊模式,形成以抗感染会诊为主,向多专业扩展的“1+X”模式。2022年共开展药学会诊5044例,较2017年同比增长了50%以上,其中普通会诊3007例,扩大会诊96例,覆盖神经外科、神经内科等10多个科室,会诊建议的采纳率为89.2%,会诊的有效率为76.4%。由此可见,基于PDCA循环的“1+X”药学会诊模式为医疗机构的药学会诊提供了实践参考,也为临床药师的培养提供了有益的方法。

关 键 词：PDCA cycle method Cinical pharmacist Parmacy consultation MODEL 

分 类 号：R95[医药卫生—药学]