品管圈活动提高住院患者自备口服药有效服用率

Helping hospitalized patients to effectively take self-prescribed medications through quality control circle

目的提高住院患者自备口服药有效服用率。方法成立品管圈QCC小组,确定选题方案,对临床自备口服药不能规范服用的原因进行分析、制定改进方案、实施改进措施及效果评价。结果实施品管圈活动后,住院患者口服药未规范、非有效服用率显著下降,其中服药间隔时间不符降至6.0%,未按规定剂量服用降至4.0%,均达到目标值。漏服降至2.3%,尚未达到目标值(2.0%),除服用过期药物外,其他各观察指标实施前后比较,差异有统计学意义(均P<0.01)。结论影响住院患者自备口服药不能规范服用的因素较多,应用品管圈有助于系统的分析其要因并制定改进措施,有效提高住院患者自备口服药规范服用的有效率,促进患者健康。

Objective To increase the rate of effective taking of self-prescribed medications among hospitalized patients through quality control circle（QCC）. Methods A QCC was set up, and the topic of how to help hospitalized patients to effectively take self-prescribed medications was selected. The causes why hospitalized patients failed to effectively take self-prescribed medications were analyzed, then improvement schemes and plans were formulated, and implemented, and the effect was evaluated. Results After the implementation of the QCC activities, the rate of arbitrary taking of self-prescribed medications among hospitalized patients dropped significantly, with the rate of taking medications with irregularly spaced intervals dropping to 6.0%, the rate of taking wrong doses to 4.0%, both achieving preset goals. However, the rate of missing a dose （2.3%） was slightly above the preset goal of 2.0~. The rates of quality parameters, except taking expired medications, had significant differences before and after the imple- mentation of the QCC activities （P^O. 01 for all）. Conclusion Many factors conspired to cause inappropriate taking of self-pre- scribed medications among hospitalized patients. QCC activities help to systematically analyze the leading causes and establish im- provement schemes. With this method, the rate of effective taking of self-prescribed medications among hospitalized patients has been enhanced, which also boosts their recovery.