医院活血化瘀中药注射剂临床使用PDCA管理成效

Effect of PDCA Cycle on Managing Rational Use of TCMIA

目的探讨PDCA循环对医院活血化瘀中药注射剂临床使用的全面质量管理和控制的作用,促进药物临床合理使用。方法采用PDCA循环方法,督促改进活血化瘀中药注射剂的合理使用,对比PDCA循环干预前后活血化瘀中药注射剂临床使用及不良反应情况,提出持续改进措施。结果实施管理6个月,医院活血化瘀中药注射剂使用金额占药物治疗费用比例由34.41%降至25.37%,用药合理率由55.17%升至88.67%。结论 PDCA循环可有效促进医院活血化瘀中药注射剂的规范、合理使用,值得临床推广。

Objective To explore the effect of PDCA（plan,do,check,action）cycle theory on overall managing and controlling for traditional Chinese medicine injection activating blood circulation and resolving stasis（TCMIA）. Methods PDCA cycle was use to improve the rational application of TCMIA. The PDCA cycle quality improvement was set by comparing the clinical application and the ADR of TCMIA before and after PDCA cycle management. Results After six months of intervention with PDCA cycle,the ratio of TCMIA amount was reduced from34. 41% to 25. 37%; the ratio of TCMIA rational application prescription was raised from 55. 17% to 88. 67%.Conclusion PDCA cycle can significantly promote the rational application of TCMIA.