品管圈在提升我院门诊药房拆零药品管理水平中的应用实践

Application Practice of Quality Control Circle in the Management Improvement of Dismounted Drug in Outpatient Pharmacy of Our Hospital

目的:降低门诊药房月盘点中拆零药品账物不符的药品品种数,减少拆零药品的损耗,提升拆零药品规范化管理水平。方法:通过品管圈活动,分析造成拆零药品盘点账物不符的原因,组织圈员采取开展人员培训、协定处方、专柜存放、专人管理、效期管理等相应的对策,制订并实施拆零药品管理流程。统计活动前、中、后的拆零药品账物不符药品品种数及圈员的活动成长值。结果:活动前、中、后门诊药房的拆零药品账物不符药品品种数分别为33.6、21.2、13.6种,总体下降59.5%;圈员各项活动成长值均为正值。结论:门诊药房通过开展品管圈活动可有效降低拆零药品月盘点账物不符药品品种数,使拆零药品管理规范化,并可提升药学服务品质。

OBJECTIVE：To reduce the types of drugs which was not consistent with the accounts in monthly checking of outpatient department,reduce the wastage of dismounted drugs and improve dismounted drug management. METHODS：Through quality control circle（QCC）,analyzing the reasons for inconformity of accounts and drugs,adopting relevant countermeasures of staff training,cipher prescription,counter storage,managed by designated person,expiry data management and so on,the process of dismounted drug management was formulated and implemented. The types of drugs which was not consistent with the accounts and activity growth value of circle members were analyzed statistically before,during and after QCC. RESULTS：The types of drugs which was not consistent with the accounts were 33.6,21.2 and 13.6 before,during and after QCC,decreasing by 59.5%. The activity growth value of circle members were all positive value. CONCLUSIONS：QCC of outpatient pharmacy can effectively reduce the types of drugs which is not consistent with the accounts in monthly checking,standardize dismounted drug management and improve pharmaceutical care quality.