品管圈活动在提高我院门诊处方合格率中的应用

Application of QCC in the Improvement of the Passing Rate of Outpatient Prescriptions in Our Hospital

目的:提高我院门诊处方合格率。方法:按照品管圈理论实施各项活动,分析处方合格率低的原因,探讨并实施解决的对策,评价有形成果和无形成果,制订标准化工作流程。结果:针对导致处方合格率低的来自信息系统、医师、药师和患者的原因,制订并实施了完善医院信息系统、建议采取相关奖罚措施、培训医师合理用药知识、对患者开展用药教育、提高药师自身专业水平等对策。活动后有形成果即处方合格率由85.5%提高到了95.7%,无形成果中圈员的沟通能力、解决问题能力、自信心等有较大幅度的提高;再制订了标准化流程文件,确保整个循环能够持续运行。结论:品管圈活动的开展对提高我院门诊处方合格率是可行的,建议推广应用。

OBJECTIVE： To improve the passing rate of outpatient prescriptions in our hospital. METHODS ： Activities were implemented according to the theory of Quality control circle （QCC）, and the reasons for low passing rate of prescription were analyzed to investigate and implement countermeasures. Tangible results and intangible results were evaluated, and standardization processes were made. RESULTS： Because main reasons for low passing rate of prescription were from information system, physicians, pharmacists and patients, the countermeasures were formulated and implemented, i.g. consummating the hospital information system, implementing rewards and punishment, conducting rational use of drugs training, developing medication education for patients and improving the professional skills. Tangible results： the passing rate of prescription was improved from 85.5% to 95.7 %. Intangible results：members had great improvement in communication skills, ability of problem solving, self-confidence. The standardization documents were made to ensure the PDCA can continuously run. CONCLUSIONS： The implementation of QCC can im- prove the passing rate of prescription, and should be applied and spread.