品管圈加强智慧型手术药房麻醉药品管理的实践

Practice of Strengthening the Management of Narcotic Drugs by Quality Control Circle in Intelligent Surgical Pharmacy

目的探索利用品管圈提高智慧型手术药房麻醉药品管理水平。方法组建品管圈,运用PDCA循环法推进改善项目。利用柏拉图和八二法则确定手术药房麻醉药品管理的改善重点,通过鱼骨图导出要因,制定对策并实施。比较改善前后不合格事件率,以探讨品管圈方法的有效性。结果通过本次品管圈活动,手术药房麻醉药品管理的不合格率显著下降,由24.44%降至8%,达成率为117.77%,进步率为67.27%。重点残余液不符/缺失和处方患者信息错误事件分别下降57.5%和90.6%。结论品管圈活动能有效提高手术药房麻醉药品的管理水平,麻醉药品处方规范和残余液处置的管理得到明显加强。既提升了智慧型手术药房的建设质量,也促进了患者用药安全。

OBJECTIVE To explore the application effect of quality control circle(QCC)method in improving the management of narcotic drugs in intelligent surgical pharmacy.METHODS The QCC was established and the PDCA method was applied to promote the improvement project.The key points of improving the management of narcotic drugs in surgical pharmacy were determined by Plato and 80/20 rule,the key causes were derived by fish-bone diagram,and the measures were determined.Compared the unqualified rate before and after the improvement to explore the effectiveness of the QCC method.RESULTS The unqualified rate of narcotic drug management in surgical pharmacies decreased significantly from 24.44%to 8%,yield rate was 117.77%,and the progress rate was 67.27%.The improvement focus that the missing/wrong registration of residual liquid and the error patient information on formula decreased by 57.5%and 90.6%respectively.CONCLUTION The management of the disposal of residual liquid and the standardization of narcotic prescription has been significantly strengthened.The QCC method can effectively improve the management level and efficiency of narcotic drugs in surgical pharmacy,which not only promotes the drug safety of patients,but also promotes the construction of intelligent surgical pharmacy.