“品管圈”活动在降低急诊药局投药差错率的应用

The application of “quality control circle”activities on reducing the error rate of emergency pharmacy medication

目的:通过在急诊药局开展品管圈活动,分析处方调剂差错的原因,并采取相关防范措施,降低发药差错率,增强员工参与管理的意识,促进药学服务质量提升,保障患者用药安全。方法:将品管圈活动应用于急诊药局药品的调配过程,回顾性分析2012年造成急诊药局调配差错原因,制订相应对策并实施,评估实施对策的效果。结果:有形成果方面,急诊药局调剂内差由改善前的15.0件/周,下降到改善后的7.25件/周。达标率为115.16%,进步率为51.67%,达到了预期目标;无形成果方面,员工品管手法、解决问题的能力及责任心等方面的评分明显提高。结论:在急诊药局开展品管圈活动是可行的,开展品管圈活动可有效降低调剂差错的发生率,提高了圈员们解决问题的能力,增强了团队合作与互动,提升了整体药学服务水平,保障了患者用药安全。

Objective：To analyze the reasons of prescription errors through the development of products in the emergency pharmacy management circle activities, and to take preventive measures to reduce dispensing error rate; enhance employee participation in management consciousness;and promote pharmacy service quality so as to guarantee the safety of patients. Methods： the product blending process control circle used in emergency pharmacy drugs, retrospective analysis of 2012 resulted in emergency pharmacy dispensing errors reasons, for- mulate corresponding measures, to evaluate the effect of implementing the counter measure. Results： In terms of tangible results,emergency pharmacy dispensing interpolation was dropped from 15 pieces per week to 7. 25 pieces per week. Compliance rate was 115.16% ,and improvement rate was 51.67%, achieving the expected goals. In terms of intangible results, the scores of staff quality management methods, the ability to solve the problem and the sense of responsibility increased obviously. Conclusions： It is feasible to carry out the quality control circle in emergency medicine bureau because it can effectively reduce the incidence of dispensing errors; improve the ability of ring members to solve problems; enhance the team cooperation and interaction;improve the overall level of pharmaceutical service so as to guarantee the safety of patients.