品管圈在降低门诊实时不合理处方数中的应用成效

Application effect of quality control circle in the reducing the number of real-time unreasonable prescriptions in outpatient department

目的分析品管圈在降低第二军医大学长征医院(以下简称“我院”)门诊实时不合理处方数中的应用,提升药学服务质量,促进患者安全合理用药。方法2019年1月—6月期间,利用品管圈降低我院门诊实时不合理处方数,分析导致不合理处方数高的原因,制订对策并实施,对比分析活动前后的有形成果和无形成果,评价改善成效。结果活动开展后,我院门诊平均每天实时不合理处方数由1392张下降至618张;目标达成率为91.17%,改善幅度为55.60%;圈员的品管手法、解决问题的能力、工作责任心等各项无形成果均得到提升。结论通过开展品管圈活动,降低了门诊实时不合理处方数,进一步保障了患者的安全合理用药。

Objective To analyze the application of quality control circle in the reducing the number of real-time unreasonable prescriptions in outpatient Department in Changzheng Hospital of the Second Military Medical University(hereinafter referred to as“our hospital”),to improve the quality of pharmaceutical care,and to promote patient safe and rational drug use.Methods From January to June 2019,the quality control circle was used to reduce the number of unreasonable prescriptions in the outpatient department of our hospital in real time,then we analyzed the causes leading to the high number of unreasonable prescriptions,formulated countermeasures and implemented.The tangible and intangible results before and after applying quality control circle program were compared and analyzed,then the improvement effect was evaluated.Results After applying quality control circle program,the average number of real-time unreasonable prescriptions per day decreased from 1392 to 618.The target achievement rate was 91.17%and the improvement rate was 55.60%.The quality control techniques,problem solving abilities,work responsibility and other intangible achievements of the circle members have been improved.Conclusion The number of real-time unreasonable prescriptions in outpatient department was reduced by using Quality Control Circle,and can further ensure the safe and rational drug use.