品管圈在降低自动化药房库存差错率中的应用

Application of QCC in Reduction of Error Rate of Inventory in Automated Pharmacy

目的:降低我院自动化药房库存差错率。方法:按照品管圈PDCA(Plan,计划;Do,执行;Check,检查;Action,行动)管理法的步骤设计实施活动,分析造成自动化药房库存差错的原因,探讨解决对策并实施,评价有形成果和无形成果,制定标准化流程。结果:自动化药房库存差错出现的主要原因有药品调剂差错、药品上架差错、退药单差错、自动摆药机和系统差错等。针对以上原因,拟定并制定药品出库核对与药品上架流程、自动化药房药品调剂流程、二级核对流程等相关规范,并予以实施。实施活动后有形成果即自动化药房库存差错率由9.17%降低至3.77%,制定的标准流程可确保整个PDCA持续运行;无形成果即管理成员在品管圈手法、责任感、沟通与协作等方面均有一定程度提高。结论:品管圈PDCA管理法用于降低自动化药房库存差错率可行,可为自动化药房管理提供参考。

OBJECTIVE：To reduce the error rate of inventory in the automated pharmacy of our hospital.METHODS：Activities were designed and implemented by the management method of quality control circles（QCC）-PDCA（Plan,Do,Check and Action）cycle.The reasons for the errors of inventory in the automated pharmacy were analyzed to investigate and implement countermeasures.Visible and invisible achievements were evaluated,and then standardized processes were made.RESULTS：The errors of inventory in the automated pharmacy mainly included those of drug dispensing,drug shelving,drug return sheet,automatic medicine dispensing machine and system.In view of the above reasons,relevant standards were formulated and performed,including the process of warehouse-out check and shelving of drugs,drug dispensing process for the automated pharmacy,the process of secondary check,etc.After the implementation of the activities,the error rate of inventory in the automated pharmacy reduced from9.17% to 3.77%,which was visible achievement;and the above-mentioned standardized processes could ensure continuous running of PDCA cycle.The practice,sense of responsibility,communication and coordination of management members in PDCA cycle namely invisible achievements were improved to some extent.CONCLUSIONS：The management method of QCC-PDCA cycle is feasible in reduction of the error rate of inventory in the automated pharmacy,which can provide a reference for automated pharmacy management.