品管圈活动在降低我院门诊药房发药差错率中的应用

Applications of QQC Activity in Reducing the Error Rate of Drug Dispensing in Outpatient Pharmacy of Our Hospital

目的:降低医院门诊药房发药差错率,促进药学服务质量提升。方法:以"降低门诊药房发药差错率"为主题,在我院门诊药房按照品管圈活动的10个步骤实施各项活动,并评价该活动的有形成果和无形成果。结果:通过开展品管圈活动,拟定了几方面的对策,如配方人员仔细核对打印标签,药品调配后摆放整齐;对同一成分不同规格、包装非常类似的2种药品,用其他品种的药品隔开,并贴上醒目图标等。有形成果方面,与改善前比较门诊药房发药差错率下降62.9%(29.25件vs.10.85件),目标达标率120.66%;无形成果方面,员工品管手法、解决问题的能力及责任心等方面的评分明显提高。结论:开展品管圈活动可以提升门诊药房药学服务质量,促进临床用药更加安全、有效。

OBJECTIVE： To reduce the error rate of drug dispensing in outpatient pharmacy of our hospital, and to improve the quality of pharmaceutical care. METHODS： On the subject of ＂reducing drug inventory amount of outpatient pharmacy＂, the activities were conducted in outpatient pharmacy of our hospital according to 10 steps of quality control circle （QCC）, and visible achievement and invisible achievement were evaluated. RESULTS： Through conducting QCC activity, countermeasures of several aspects were formulated, such as prescribing staff checked label printed, drugs were arranged on the window after dispensing; 2 similar drugs with same composition and different specifications should be separated by other kinds of drugs and then labeled with striking mark, etc. Compared with before improvement, the error rate of drug dispensing in outpatient pharmacy decreased by 62.9% in visible achievement （29.25 events vs. 10.85 events）, and the up-to-standard rate of the goal was 120.66%. In invisible achievement, the scores of quality control method, problem-solving ability and responsibility of staff were improved significantly. CONCLUSIONS： The development of QQC activity can improve the quality of pharmaceutical care in outpatient pharmacy and pro- mote safe and effective drug use in the clinic.