品管圈PDCA-SDCA循环管理法对提高医院高警讯药品管理质量与质控指标的影响

Influence of PDCA-SDCA Cycle Management Method on Improving the Quality and Quality Control Index of HAD Management in Hospital

目的:探究PDCA-SDCA循环在高警讯药品(high alarm drug,HAD)管理中的作用,规范HAD管理,以提高用药安全性。方法:首先运用PDCA循环创建HAD管理模式,比较实施HAD管理模式活动前后对HAD管理指标差异性;再运用SDCA循环比较活动前后的效果。结果:实施后,一线医务人员对HAD相关知识考核的合格率由67.00%提升到88.00%;药师全面参与自备药管理,由2个环节提升到3个环节;药房内HAD管理的合格率由60.00%提升到92.00%;药房外HAD管理的合格率由51.00%提升到83.00%;而作为院部质控指标的药房外HAD管理的合格率,在SDCA期间一直维持在84.09%~95.45%的区间。结论:PDCA循环的实施有效创建了HAD管理模式,提高HAD管理水平,而SDCA循环的实施有效改善了其管理质量与质控指标,品管圈PDCA-SDCA循环相结合的方法促进了质量改进的稳步运行,其效果得到了显著提升。

Objective:To explore the role of PDCA-SDCA cycle in the management of high-alarm drugs(HAD) in our hospital in order to standardize the management of HAD and on improve medication safety. Methods:Firstly, the PDCA cycle was used to create the HAD management mode, and the differences of HAD management indicators before and after the implementation of the HAD management mode were compared. SDCA cycles were used to compare the effects before and after the activity. Results:The qualified rate of HAD-related knowledge assessment of front-line medical staff was increased from 67.00% to 88.00%;Pharmacists were fully involved in the management of self-prepared drugs,which was promoted from 2 to 3 links. The qualified rate of high alarm drug management in the pharmacy was increased from 60.00% to 92.00%;The qualified rate of high alarm drug management outside the pharmacy was increased from 51.00% to 83.00%. As a quality control indicator of the hospital,the qualified rate of high alarm drug management outside the pharmacy has been maintained between the range of 84.09% and 95.45% during SDCA cycle.Conclusion:The implementation of PDCA cycle effectively created the HAD management mode and improved the management level of HAD, while the implementation of SDCA cycle effectively improved the management quality and quality control indicators. The combination of PDCA-SDCA cycle in the quality control circle promoted the steady operation of quality improvement, and its effect was significantly improved.