品管圈在降低我院药房断药频率中的应用

Application of Quality Control Circle in the Reduction of the Rate of Drug Supply Interruption in Our Hospital

目的:降低我院药房断药频率。方法:按照品管圈理论的十大步骤实施各项活动,分析造成断药的原因,探讨解决对策并实施,评价有形成果(药房断药频率)和无形成果(圈能力),制订标准化流程。结果:药房断药的主要原因有出库不及时、临床退药不及时、入库登记不及时、药品随货同行单不合格等。针对以上原因,采取制订并实施相关规范如药品采购与入库规范、核对药品流程规范、细化工作流程、制订特殊关注药品目录等对策。活动后药房断药频率由3.77%降低至0.93%;圈员在品管圈手法、责任感、沟通与协调等方面有较大幅度的提高。结论:品管圈活动的开展对降低我院药房断药频率是可行的,建议推广应用。

OBJECTIVE： To reduce the rate of drug supply interruption in our hospital. METHODS： Activities were implement- ed according to the ten steps of quality control circle （QCC）, and the reasons for drug supply interruption were analyzed to investi- gate and implement countermeasures. Visible achievements （the rate of drug supply interruption） and invisible achievements （the ef- fect of QCC） were evaluated, and standardization process was formulated. RESULTS： The main reasons for drug supply interrup- tion included delayed outbound, delayed clinical drug withdraw, delayed storage registration and unqualified packing list with prod- ucts, etc. The countermeasures were formulated and implemented, i.g. relevant standards for drug purchase and storage, drug check- ing process, workflow refinement, special drug list, etc. The rate of drug supply interruption was reduced from 3.77% to 0.93%. Members had great improvement in QCC methods, the sense of responsibility, communication and coordination. CONCLUSIONS： The implementation of QCC is feasible for the reduction of the rate of drug supply interruption in our hospital, and should be ap- plied and spread.