品管圈活动对降低临床医嘱排药管理差错率的效果分析

Analysis on Effect of Quality Control Circle Activities on Reducing Errors Rate of Clinical Medical Ordering and Dispensing Management

目的:探究品管圈活动(QCC)对降低临床医嘱排药管理差错率的效果。方法:抽取2018年6-10月间实施常规排药管理的临床医嘱1 200份为对照组,另抽取2018年11月-2019年3月间实施品管圈活动后的临床医嘱1 200份为研究组;比较两组的排药差错情况、退药情况、调剂差错情况以及患者投诉率、医疗纠纷发生率的差异。结果:实施品管圈活动后,研究组排药差错率(0.17%)低于对照组(2.17%)(P<0.05),退药率(0.25%)低于对照组(2.33%)(P<0.05),调剂差错率(0.17%)低于对照组(2.08%)(P<0.05),患者投诉率(0.00%)低于对照组(3.17%)(P<0.05),医疗纠纷发生率(0.00%)低于对照组(2.67%)(P<0.05)。结论:在临床医嘱排药管理中开展品管圈活动大大降低了排药差错率,退药率、调剂差错率以及患者投诉率、医疗纠纷发生率,保障了患者的用药安全。

Objective: To explore the effect of quality control circle(QCC) activities on reducing the rate of errors in the management of medical ordering and discharging. Methods: 1 200 clinical orders implemented routine drug discharge management from June to October 2018 were selected as the control group,and the other 1 200 clinical orders implemented QCC activities from November 2018 to March 2019 were selected as the research group. The differences in the errors of dispensing,withdrawal,dispensing,complaint rate and incidence of medical disputes between the two groups were compared. Results: After the implementation of QCC activity,research group medication errors rate(0.17%) is lower than that of the control group(2.17%)(P<0.05);the return rate(0.25%) is lower than that of the control group(2.33%)(P<0.05),dispensing error rate(0.17%) is lower than that of the control group(2.08%)(P<0.05),patients' complaints(0.00%) are lower than that of the control group(3.17%)(P<0.05);the incidence of medical disputes(0.00%) is lower than that of the control group(2.67%)(P<0.05). Conclusion:The implementation of QCC activities in the management of dispensing drugs under clinical medical advice greatly reduces the rate of errors in dispensing drugs,drug withdrawal rate,dispensing errors rate,patient complain rate and medical dispute rate,ensuring the safety of patients' medication.