质量风险管理在医院药房退药环节的应用效果分析

Analysis on Application Effect of Quality Risk Management in Drug Withdrawal Link of Hospital Pharmacy

目的:分析质量风险管理在医院药房退药环节中的应用效果。方法:抽取2015年9月—2016年8月期间药房退药病例120例资料设为管理前组,另抽取2016年9月—2017年8月期间经风险识别、评估、控制及审核等流程的质量管理后的药房退药病例120例资料设为管理后组,比较两组病例实施质量风险管理后的风险因素的发生率,及退回药品再利用率及其医疗纠纷与投诉发生率的差异。结果:管理后组病例实施质量风险管理后的风险因素发生率分别为1.67%、1.67%、0.83%、2.50%和0.83%,低于管理前组分别为9.17%、7.50%、6.67%、11.67%和5.83%(P<0.05),退回药品再利用率为96.67%高于管理前组为86.67%(P<0.05),医疗纠纷、投诉发生率分别为0.83%和0.00%均低于管理前组为6.67%和4.17%(P<0.05)。结论:质量风险管理后药房退药环节明确,有效减少了风险因素和医疗纠纷与投诉的发生,提高了退回药品的再利用率。

Objective： To analyze application effect of quality risk management in drug withdrawal link of hospital pharmacy. Methods： 120 cases drug withdrawal of hospital pharmacy during September 2015 to August 2016 were set as pre management group,and 120 cases drug withdrawal of hospital pharmacy from September 2016 to August 2017 after quality management implemention（risk identification, assessment, control and audit process） were set as post management group.The risk factors incidence,recycling rate,medical disputes and complaints incidence in the two groups were observed and compared. Results： The risk factors incidence after quality management were 1.67%, 1.67%, 0.83%, 2.50% and 0.83%, lower than that of control group 9.17%, 7.50%, 6.67%, 11.67% and 5.83%（P〈0.05）. The reutilization rate in post management group and pre management group were 96.67% and 86.67% （P〈0.05）. The medical disputes and complaints incidence in post management group was 0.83% and 0.00%, which were 6.67% and 4.17% in pre management group （P〈0.05）. Conclusion： Drug withdrawal link turned to be clear after quality risk management,for the risk factors rate,medical disputes and complaints incidence declined,and the reutilization rate of returned drug ascended.