病区口服用药管理流程优化再造的实践与效果

Practice and effect of reengineering in oral medication management process

目的通过对病区口服用药管理流程进行优化再造，降低病区口服用药不良事件的发生，保证用药安全。方法选择口服药用量大的内科6个病区，将2007年1月至2008年12月发生的口服用药不良事件，进行根本原因分析，找出口服药发放过程中的环节质量问题，对病区口服药集体发放管理工作流程进行优化再造，再将流程再造前后6个病区发生的口服用药不良事件的例数和发生原因进行分析对比。结果流程优化再造后口服用药不良事件的发生明显降低，P〈0．01，差异具有统计学意义。结论口服用药流程的优化再造，是保证口服用药安全最有效措施。

Objective The oral medication management process was reengineered to reduce the occurrence of adverse events of oral medication in ward and ensure medication safety. Methods The causes of adverse events were analyzed in the 6 wards of internal medicine which had large amount of oral medicine from Jan. 2007 to Dee. 2008. Then the oral medication management proeess was reengineered, and the eases and causes of adverse events before and after the reengineering were compared and analyzed. Results The occurrence of ad- verse events of oral medication reduced significantly after the reengineering . The value of P 〈 0. 01. Conclusions Reengineering the oral medication management process is the most effective measure to guarantee the safety of oral medication.