舒放+++斯日古楞

[摘要] 目的 探討PDCA循环法在改善药房管理质量及降低药品应用差错率中的作用。 方法 选取内蒙古自治区人民医院2014年2月～2015年2月门诊药房未进行PDCA循环法的资料作为对照组，2015年4月～2016年4月进行PDCA循环管理后的资料作为观察组。本研究参与的药剂师共25名，选取2000种药品、100例患者。比较两组药房管理质量评分；药房管理模式下药品库存量、缺药次数、药品批号管理失误率；药房调配核对单张处方的时间、发药差错率、患者满意度。 结果 观察组药房管理质量评分，包括药房环境管理、工作舒适度、药物分类放置、药物保存方法评分均高于对照组，差异均有统计学意义（P < 0.05）；观察组药品库存量、缺药次数、药品批号管理失误率均低于对照组，差异均有统计学意义（P < 0.05）；观察组药房调配核对单张处方时间、发药差错率短于或低于对照组，患者满意度高于对照组，差异均有统计学意义（P < 0.05）。 结论 PDCA循环法可以提高药房管理质量，降低药品应用的差错率和失误率，提高患者满意度，可在药房管理中推广应用。

[关键词] PDCA循环法；药房管理质量；药品应用差错率

[中图分类号] R969.3 [文献标识码] A [文章编号] 1673-7210（2017）09（b）-0122-04

Application of PDCA circulation method in improving the quality of the pharmacy management and reducing the drug application error rate

SHU Fang1 Siriguleng2

1.Department of Administrative， School of Public Administration， Renmin University of China， Beijing 100872， China； 2.Department of Pharmacy， Inner Mongolia People's Hospital， Inner Mongolia Autonomous Region， Hohhot 010010， China

[Abstract] Objective To study the effect of PDCA circulation method in improving the quality of the pharmacy management and reducing the drug application error rate. Methods The data in Outpatient Pharmacy of Inner Mongolia People's Hospital without PDCA circulation method from February 2014 to February 2015 were chosen as the control group. The data in Outpatient Pharmacy of the hospital with PDCA circulation method from April 2015 to April 2016 were chosen as the observation group. A total of 25 cases of pharmacists， 2000 kinds of drugs， 100 cases of patients were investigated in this study. The pharmacy management quality score； drug inventory， lack of drugs， error rate of drug batch number management under pharmacy management mode； time of check a single prescription in pharmacy deployment， error rate of dispensing， satisfaction of patients were compared between the two groups. Results The pharmacy management quality scores， including scores of pharmacy environmental management， working comfort， drugs classification， drug preservation methods in the observation group were higher than those in the control group， with statistically significant differences （P < 0.05）. The drug inventory， lack of drugs， error rate of drug batch number management in the observation group were lower than those in the control group， with statistically significant differences （P < 0.05）. The time of check a single prescription in pharmacy deployment， error rate of dispensing in the observation group were shoter or lower than those in the control group， while the satisfaction of patients was higher in the observation group， with statistically significant differences （P < 0.05）. Conclusion PDCA circulation method can improve the quality of the pharmacy management， reduce the error rate of drug use and errors， improve satisfaction of patients， which can be applied in pharmacy management.

[Key words] PDCA circulation method； Pharmacy management quality； Drug application error rate

医院药房作为医院的综合性科室，是反映医院精神面貌及文明素质的窗口，其将药品管理、临床用药和患者集合为一体，是医院整个医疗服务中重要的一个环节[1-3]。只有对药房工作给予一系列的制度化管理，才能更好地保证临床提供用药的可靠性及有效性，为医院患者提供更好的药品服务。药房管理工作包括药学、医疗和护理三个方面，其管理水平的优劣，直接关系到医院预防、医疗和保健等多个领域，影响患者就医质量[4-8]。近些年PDCA循环管理圈的应用较为广泛，其由美国著名管理大师戴明博士提出，主要包括计划（P）、实行（D）、检查（C）和行动（A）四个方面，通过全面质量管理、遵循科学程序来提高管理水平[9-10]。……