通过品管圈活动降低某院门急诊儿童输液率的应用研究

Study of Quality Control Circles in Reducing Children Outpatient Infusion Rate

目的探讨品质管理圈(QCC)在降低门急诊儿童输液率的应用。方法成立QCC小组,针对导致门诊儿童输液率高的原因制定相关的措施,并比较品管圈活动前后的门急诊儿童输液率。结果通过优化健康教育的方式和内容和增加儿童药品品种数,使本院儿科各组门急诊输液率(46.13%)、注射用抗菌药物使用率(37.02%)、人均药品费用(91.3元)、静脉输液不良反应例数(23.75例)、投诉总例数(40.25例),在QCC活动后分别下降至27.23%、25.38%、72.25元、14.75例、25.25例,P<0.05,有统计学意义。结论开展品管圈活动有利于本院加强药物的管理。

OBJECTIVE To explore the effect of quality control circles（ QCC） in reducing child outpatient infusion rate.METHODS after a QCC team establishment,the specific approach will be formulated to lower the infusion rate in children of the outpatients; The rates before and after QCC were compared. RESULTS By improving the form and content of health education and increasing the children＇s medicine varieties,the infusion rate（ 46.13%）,the usage rate of antibacterial agent for intravenous infusion（ 37.02%）,the average cost of drug use per patient（ 91.3 yuan）,the cases of adverse reactions of intravenous infusion（ 23.75 cases）,the number of complaints of pediatric outpatient and emergency department（ 40.25 cases） decreased to 27.23%,25.38%,72.25 yuan,14.75 cases,25.25 cases,respectively. CONCLUSION QCC is a good method to strengthen the drug management in the hospital.