作业流程重组在病区药物配置模式转变过程中的应用研究

Application Study for Business Process Reengineering in the Course of Disease Zone Medicine Allocation Manner Changing

目的:探讨作业流程重组(Business Process Reengineering,BPR)在病区药物配置模式转变过程中的应用价值。方法:采用作业流程重组中"系统性重新整合"(SystematicRedesign)的方法,对病区药物配置工作流程进行重组。将重组后2006年1月～2007年1月住院患者药物配置时限作为研究观测指标,重组前2004年1月～2005年1月同期住院患者药物配置时限作为对照指标,分别统计两组住院患者长期医嘱及临时医嘱药物平均每天配置时间,并进行比较。结果:研究组住院患者长期医嘱及临时医嘱药物平均每天配置时间均较对照组缩短,差异均有非常显著性(u值分别为13.77、18.82,P均<0.01)。结论:应用BPR可明显缩短药物配置时间,提高护理质量及工作效率。

Objective：the exploration for the application value for Business Process Reengineering（BPR） in the course of disease zone medicine allocation manner changing.Methods：using the method for Systematic Redesign in the course of BPR for the reengineering in the coure of disease some medicine allocation.The patients＇ medicine collection time period is decmed as study observation index for the patients who entered in the hospital from Janary 2006 to Jaruary 2007 after BPR;the patients＇ medicine collection time period as a comparison index is deemed for the patients who entered in the hospital from January 2004 to January 2005 before BPR.Two groups of the patients who entered in hospital are separstely accounted to follow doctor＇s instruction for long timne or for short time as medicine collection to be eompared for the time averagely each day.Reaults：the studied group of the patients who follow doctor＇s instruction for long time and sbort time to collect the medicine is shorter than the comparison group of the patients who follow doctor＇s instruction for long time and short time to collect the medicine is shorter than the comparison group averagely ench day.The differences have remarkable（u value is 13.77 ,18.82 separately,P〈0.01 totally）,Conclusions：Some original unsuitable medicine allocation process should be organized to simply business process and shorten medicine collection time so as to improve mursing quality and working efficiency with a major consequence and be promoted under guaranteeing medical service quality.