品管圈在提高我院门诊药房用药交待率中的应用

Application of Quality Control Circle in the Improvement of the Rate of Medication Directions of Outpatient Pharmacy in Our Hospital

目的:提高我院门诊药房用药交待率。方法:按照品管圈的十大步骤实施各项活动,运用头脑风暴法分析用药交待率低的原因,采用鱼骨图探讨对策的拟定与实施,评价有形成果(用药交待率)和无形成果(圈能力),并制订标准化工作流程。结果:用药交待率低的主要原因有药师责任心不强与理论知识不足等。针对以上原因,采取了将用药交待纳入日常发药的工作流程、组织药师定期参加科室培训、总结专业知识等措施。活动后口服药与注射剂用药交待率分别由23.2%上升至100%、6.2%上升至100%,形成了用药交待标准化流程和用药交待制度,制作了用药交待卡片、常用药品说明书手册;同时圈员在积极性、解决问题能力、自信心等方面有较大幅度的提高。结论:品管圈管理模式的应用对提高我院门诊药房用药交待率是可行的。

OBJECTIVE： To improve the rate of medication directions of outpatient pharmacy in our hospital. METHODS： Ac- tivities were implemented according to the ten steps of quality control circle （QCC） ; the reasons for low rate of medication direc- tions were analyzed by brainstorming; the formulation and implementation of countermeasures were investigated by fishbone dia- gram; tangible results （the rate of medication directions） and intangible results （ability of QCC） were evaluated; the standard pro- cesses were made. RESULTS： Main reasons for low rate of medication directions included the weak sense of responsibility and in- sufficient theoretical knowledge of our pharmacists. The countermeasures were formulated and implemented, i.g. put medication di- rections into the daily dispensing processes, organize our pharmacists to participate in department training regularly, and summarize the expertise. The rate of medication directions increased from 23.2% to 100% for oral drugs and from 6.2% to 100% for injec- tion, and the standard process and system of medication directions had been formulated. The medication directions cards and manu- als of commonly used drug instructions had been produced. Members had great improvement in enthusiasm, ability of solving prob- lems and self-confidence. CONCLUSIONS： The implementation of QCC can improve the rate of medication directions in outpatient pharmacy of our hospital.