精细化管理在医院门诊药房管理中的应用

Application of Fine Management in Hospital Outpatient Pharmacy Management

目的:研究精细化管理在医院门诊药房管理中的应用效果。方法:2017年7月-2018年6月医院门诊药房工作人员16名作为研究对象,2017年7-12月未实施精细化管理,2018年1-6月予以精细化管理。比较干预前后的工作效率、工作质量、调剂差错发生率以及患者满意度。结果:干预后人均每日调剂量为(140.34±4.79)张高于干预前(97.68±5.44)张,差异有统计学意义(t=23.543,P=0.001)。干预后单张处方调剂时间(2.83±1.07)min、患者平均候药时间(2.17±0.66)min均明显短于干预前(5.22±1.41)min、(9.86±1.55)min,差异均有统计学意义(t=5.401、18.259,P=0.001)。干预后发生盘点错误(1.21±0.05)次、分装装量错误(3.11±0.64)次、拆零药品管理不当(4.91±2.13)次、拆零药品损坏(1.56±0.26)次、拆零药品变质的次数(1.62±0.17)次,均少于对照组(1.99±0.14)、(6.75±2.10)、(18.39±5.86)、(2.55±0.33)、(3.67±0.44)次,差异均有统计学意义(t=20.987、6.632、8.648、9.426、17.384,P<0.05)。干预后调剂差错发生率为0.80%(4/500)低于干预前的8.20%(41/500),差异有统计学意义(χ^2=31.856,P=0.001);干预后患者总满意率为98.00%(490/500)高于干预前92.00%(460/500),差异有统计学意义(χ^2=18.947,P=0.001)。结论:在医院门诊药房的管理中采用精细化管理,有助于工作人员工作效率及工作质量的提高,可减少调剂差错的发生,效果令人满意。

Objective:To study the effect of fine management in hospital outpatient pharmacy management.Method:From July 2017 to June 2018,16 staff members of the outpatient pharmacy of the hospital were selected as research objects.From July to December 2017,no fine management was carried out,and fine management was carried out from January to June 2018.The work efficiency,work quality,dispensing error rate and patient satisfaction were compared before and after intervention.Result:After the intervention,the per capita daily dispensing amount was(140.34±4.79)sheets was higher than that(97.68±5.44)sheets before the intervention,and the difference was statistically significant(t=23.543,P=0.001).After intervention,The each prescription dispensing time(2.83±1.07)min and the average waiting time(2.17±0.66)min were significantly lower than those(5.22±1.41)and(9.86±1.55)min before intervention,with statistically significant differences(t=5.401,18.259,P=0.001).After intervention,inventory error(1.21±0.05)times,packaging error(3.11±0.64)times,improper management(4.91±2.13)times,damage(1.56±0.26)times and deterioration(1.62±0.17)times occurred were lower than(1.99±0.14),(6.75±2.10),(18.39±5.86),(2.55±0.33),(3.67±0.44)times in the control group,the differences were statistically significant(t=20.987,6.632,8.648,9.426,17.384,P<0.05).The dispensing error rate after intervention was 0.80%(4/500),which was lower than 8.20%(41/500)before intervention,and the difference was statistically significant( χ^2=31.856,P=0.001).The total satisfaction rate of patients was 98.00%(490/500)higher than 92.00%(460/500)before intervention,and the difference was statistically significant( χ^2=18.947,P<0.001).Conclusion:The fine management in outpatient pharmacy of hospital is helpful to improve the working efficiency and quality of staff,and can reduce the occurrence of misadjustment,and the effect is satisfactory.