品管圈在我院门诊药房退药管理中的应用

Application of Quality Control Circle in the Management of Drug Repercussion in Outpatient Pharmacy of Our Hospital

目的:降低门诊药房退药情况,促进患者安全用药。方法:运用品管圈管理工具,抽取我院门诊药房2016年9月(活动前)退药数据,设计退药原因查检表,通过现场查检,把握医院门诊发生退药的现状,拟定改善措施并进行效果确认。对比活动前、后(2017年3月)1个月内退药例数及圈员各项能力的提高,评价改善效果。结果:我院针对检查用辅助药品退药和用药不适宜退药情况发生较多的要因,通过制订用药检查项目手册、优化检查科室用药发放流程等措施进行了改善,结果门诊药房退药例数由活动前的31例/月减少到12例/月,目标达成率为119%,改善幅度为61%;圈员解决问题的能力和品管手法运用能力均正向升高。结论:我院开展的品管圈活动,降低了门诊药房退药例数,优化了用药发放流程,促进了患者安全用药。

OBJECTIVE： To reduce drug repercussion of outpatient pharmacy, and to promote safe drug use. METHODS： By quality control circle （QCC）, the data of drug repercussion were selected from outpatient pharmacy of our hospital in Sept. 2016. The drug repercussion reason check list was designed to master the situation of drug repercussion in outpatient department, formulate improvement measures and confirm effect through field inspection. The case number of drug repercussion and the improvement of circle members＇ ability were compared one month before and after QCC （Mar. 2017）. Finally, the effects of QCC were evaluated. RESULTS： Referring to the reasons for the repercussion of adjunct drugs for inspection and the repercussion of unsuitable drug use in our hospital, those problems were improved by formulating manual for drug use examination project, optimizing and examining drug delivery process in the department, etc. The case number of drug repercussion in outpatient pharmacy decreased from 31 cases per month to 12 cases per month; the rate of goal achievement was 119%; the rate of improvement was 61%. The ability of QCC members to solve problems and the ability to use QCC skills were increased positively. CONCLUSIONS： The development of QCC activity in our hospital reduces case number of drug repercussion and optimizes drug delivery process in outpatient pharmacy, and promotes safe drug use.