品管圈在提高门诊二类精神药品使用合理率中的应用效果

Application effect of quality control circle in improving the rational use rate of second psychotropic substances Ⅱ in outpatients

目的探讨品管圈在提高门诊二类精神药品使用合理率中的应用效果。方法选取2017年4月门诊所有使用二类精神药品的患者(3004例,品管圈活动改善前)及2017年9月门诊所有使用二类精神药品的患者(2843例,品管圈活动改善后)作为研究对象。比较品管圈改善前后门诊二类精神药品使用合理率的变化情况,并评价品管圈活动效果。结果品管圈改善后,门诊二类精神药品使用合理率由改善前的88.28%提高至改善后的97.96%,差异有统计学意义(P<0.01)。品管圈活动改善后的和谐程度、积极性、责任感、沟通配合、愉悦感、团队凝聚力、解决问题能力、品管圈手法评分均显著高于改善前,差异有统计学意义(P<0.01)。结论开展品管圈改善活动可有效提高门诊二类精神药品使用合理率,促进合理用药。

Objective To explore the application effect of quality control circle in improving the rational use rate of second psychotropic substances Ⅱ in outpatients.Methods Patients who adopted psychotropic substances Ⅱ(3004 cases,before the improvement of quality control circle activities)in April 2017 and patients who adopted psychotropic substances Ⅱ in September 2017(2843 cases,after the improvement of quality control circle activities)in the outpatients were selected as research objects.The changes in the rational use rate of psychotropic substances Ⅱ in outpatients before and after the improvement of the quality control circle were compared and the effect of quality control circle activities was evaluated.Results After the improvement of the quality control circle,the rational use rate of the psychotropic substances Ⅱ in the outpatient clinic increased from 88.28% before improvement to 97.96% after improvement,and the difference was statistically significant(P<0.01).After the improvement of the quality control circle activities,the scores of harmony degree,enthusiasm,responsibility,communication,pleasure,team cohesiveness,problem-solving ability,and quality control circle were significantly higher than those before the improvement,and the differences were statistically significant(P<0.01).Conclusion The improvement of quality control circle activities can effectively improve the rational use rate of psychotropic substances Ⅱ in outpatients and promote rational use of drugs.