PDCA循环法促进重点监控药品管理效果分析

Analysis on the effect of PDCA cycle method to promote the management of key monitoring drug

目的观察应用PDCA循环法促进重点监控药品管理效果,为医疗机构重点监控药品管理提供依据。方法比较某院采用PDCA法前后两年重点监控药物的消耗及处方点评情况。对照组为2019年传统管理法的住院病例,观察组为2020年采用PDCA管理法的住院病例。结果实施PDCA循环法管理后,重点监控药品消耗金额大幅下降(P<0.001);无适应证用药、重复用药、用法用量及给药途径不适宜、疗程过长等处方不合理问题得到有效控制(P<0.05),处方合格率由原来的65.96%提高至90.76%(χ^(2)=27.010,P<0.001);不良反应发生率明显下降(χ^(2)=37.044,P<0.001)。结论PDCA管理法针对重点监控药品持续闭环管理,能够最大程度控制药费,减轻患者经济负担,促进合理用药,降低不良反应发生率,保证医疗质量。

Objective To observe the effect of applying PDCA cycle method to promote the management of key monitoring drug,and provide a basis for the management of key monitoring drug in medical institutions.Methods To compare the consumption of drugs and prescription reviews before and after the adoption of PDCA management in a hospital.The control group was the inpatients with traditional management method in 2019,and the observation group was the inpatients with PDCA method in 2020.Results After the implementation of PDCA cycle,the consumption amount of key monitoring drugs decreased significantly(P<0.001);The problems of irrational prescription such as drug use without indication,repeated drug use,inappropriate dosage and route of administration,and long course of treatment were effectively controlled(P<0.05).The qualified rate of prescription increased from 65.96% to 90.76%(χ^(2)=27.010,P<0.001).The incidence of adverse reactions was significantly decreased(χ^(2)=37.044,P<0.001).Conclusion PDCA method aims at continuous closed-loop management of key monitoring drugs in medical institutions,which can control drug costs to the greatest extent,reduce the economic burden of patients,promote rational drug use,reduce the incidence of adverse reactions,and ensure the quality of medical care.