中药配方颗粒智能化调配质量的PDCA循环管理模式

PDCA Circle Management Mode of Intelligent Dispensing Quality of Traditional Chinese Medicine Formula Granules

目的探索门诊中药房中药配方颗粒智能化调配质量的影响因素,以提高药师的调配质量,提高中药颗粒的临床治疗效果。方法采用南方医科大学珠江医院2018年5月—10月中药配方颗粒调剂情况作为对照组,将运用了PDCA循环模式管理的2018年11月—2019年3月调剂情况作为观察组,采用Excel表数据管理,其中对照组与观察组调配质量影响因素利用CMHχ^2检验,调配时间均值利用t检验。结果与对照组相比,观察组平均调配时间明显缩短(P<0.01),从4 min 13 s缩短至3 min 16s;颗粒装量差异减少(P<0.01),药师粘贴标签差错率降低(P<0.01),忘记放置药盒的情况减少(P<0.01),加药差错、机器故障、发药差错的次数也减少。结论中药配方颗粒调配质量提高,差错率减低,患者满意度提高,PDCA循环管理模式可用于中药配方颗粒智能化调配的管理,亦可为其他机构使用中药配方颗粒智能化调配提供借鉴。

OBJECTIVE To explore the influencing factors of intelligent dispensing quality of traditional Chinese medicine formula granules in outpatient pharmacy, so as to improve the dispensing quality of pharmacists and clinical treatment effect of traditional Chinese medicine formula granules. METHODS The dispensing condition of traditional Chinese medicine formula granules in Zhujiang Hospital, Southern Medical University from May to October 2018 was used as the control group and that controlled under PDCA cycle management from November 2018 to March 2019 was used as the observation group. The factors influencing dispensing quality between the two groups were calculated by the CMH χ^2 test in Excel, while the mean dispensing time was calculated using a t-test. RESULTS Compared with the control group, the mean dispensing time for the observation group was dramatically shortened(P<0.01), from 4 min 13 s down to 3 min 16 s, the loading difference of granules(P<0.01), the error rate for pasting labels by pharmacists(P<0.01) as well as the rate of forgetting to place medicine boxes were reduced(P<0.01). Besides, dosing errors, machinery breakdown and dispensing errors were also reduced. CONCLUSION Dispensing quality of traditional Chinese medicine formula granule is improved, lower error rate is achieved and patients’ satisfaction is increased. PDCA circle management mode can be used in the management of intelligent dispensing of traditional Chinese medicine formula granules, and can also provides reference for applying the intelligent dispensing system by other institutions.