以细节管理提高我院病房药房工作质量

Improvement of the Quality of Inpatient Pharmacy in Our Hospital from the Details Management

目的:为提高我院病房药房工作质量提供参考。方法:分析片剂、注射剂、大输液及麻醉药品和精神药品细节管理中的药品质量、药品财务、人员及合理用药管理。结果:提炼了片剂应用全自动口服摆药机工作中的关键细节,如软胶囊不拆包装给药、特殊药品手工拆包装等;注射剂杜绝易氧化变色药品的拆包装码放,采取提前确认病区普通药品退药医嘱的退药程序等;大输液根据每日医嘱单的实际用量发放,采取专人领药、专人管理;麻醉药品和精神药品根据相关规定并采用基数管理。药品财务管理关键在于盘点,如贵重药品每日盘点1次,财务出入较大且不明原因的药品应作好记录等。人员管理应培养药师树立集体观念、团队意识等。合理用药管理中药师应加强审核医嘱。结论:通过细节管理,岗位相对固定,内容相对独立,分工清晰,责任明确,明显提高了我院病房药房的工作质量。

OBJECTIVE： To provide reference for the improvement of the quality of inpatient pharmacy in our hospital. METH- ODS： The detailed management of tablets, injections, infusion, narcotic drugs and psychotropic substances were analyzed in re- spect of the quality of drug, drug finance, personnel management and rational drug use management. RESULTS ： The details of au- tomatic oral dispensing machine applied in tablet management were refined, such as giving soft capsules which were not unpacked, special drugs unpacked manually, and soon; easily oxidized discolored injection unpacked were eliminated to stack together, and the procedure of drug withdrawal prescription of generic drugs was confirmed in advance in inpatient pharmacy, and soon; special personnel will be designated for receiving drugs and drug management based on the actual amount of large infusion in daily doctor＇ s advice list; base management of narcotic drugs and psychotropic substances was conducted in accordance with the relevant provi- sions. Inventory was key to drug financial management, such as daily inventory was necessary to precious drugs, and unexplained drugs with much financial difference should be ready to record. Personnel management should train pharmacists to establish a collec- tive spirit, sense of team. As for reasonable drug use management, pharmacists should strengthen doctor＇s advice check. CONCLU- SION： Through the details of management, the relatively fixed job, relatively independent content, a clear division of labor and clear responsibility, it significantly improves the quality of inpatient pharmacy in our hospital.