PDCA循环管理在提高医院门诊自动化调剂设备出药速率中的应用
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摘要
目的:提高自动化调剂设备的出药速率,缩短出药时间。方法:成立持续质量改进小组,应用PDCA(Plan,Do,Check,Action)循环进行持续质量改进,分析影响自动化调剂设备出药速率的因素,设计目标及采取多包装药品调整措施,制订相应的改进计划及实施方法并进行结果监测和效果评价(以多包装药品使用中排名前10的药品计)等。结果:通过对多包装药品的规格及目录进行调整等措施,在改进过程中的2016年6-10月内,10种药品多包装药品使用率由63.91%提高到86.23%;与单包装药品发放方式比较,10种药品每月出药时间缩短7.86~13.73 h。结论:通过持续的质量改进,采用药品多包装发放模式可提高自动化调剂设备的出药速率。
OBJECTIVE:To improve dispensing rate of automatic dispensing equipment,and to shorten dispensing time.METHODS:Continuous quality improvement(CQI)group was established,and COI was conducted by using PDCA(Plan,Do,Check,Action)cycle. The influencing factors for slow drug delivery of automatic dispensing equipment were analyzed to set up the target, adjust multi-package drugs, develop appropriate improvement plans and implementation methods, monitor result and evaluate effect(calculated the first 10 in usage frequency of the multi-package drugs). RESULTS: Through adjusting the specification and list of multi-package drugs,the utilization rate of multi-package drug increased from 63.91% to 86.23% of 10 drugs during Jun.-Oct. in 2016;compared with the single-package dispensing mode,and dispensing time shortened 7.86-13.73 h per month of 10 drugs. CONCLUSIONS:Through the CQI,the dispensing rate of automation dispensing equipment is greatly increased by drug multi-package dispensing mode.
OBJECTIVE:To improve dispensing rate of automatic dispensing equipment,and to shorten dispensing time.METHODS:Continuous quality improvement(CQI)group was established,and COI was conducted by using PDCA(Plan,Do,Check,Action)cycle. The influencing factors for slow drug delivery of automatic dispensing equipment were analyzed to set up the target, adjust multi-package drugs, develop appropriate improvement plans and implementation methods, monitor result and evaluate effect(calculated the first 10 in usage frequency of the multi-package drugs). RESULTS: Through adjusting the specification and list of multi-package drugs,the utilization rate of multi-package drug increased from 63.91% to 86.23% of 10 drugs during Jun.-Oct. in 2016;compared with the single-package dispensing mode,and dispensing time shortened 7.86-13.73 h per month of 10 drugs. CONCLUSIONS:Through the CQI,the dispensing rate of automation dispensing equipment is greatly increased by drug multi-package dispensing mode.
引文
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[2]李素兰,贺军.持续质量改进在药事管理中的应用[J].医药产业资讯,2006,3(10):99-100.
[3]SCHROEDER P.Using the PDCA cycle[J].Nurs Qual Connect,1992,2(1):1-8.
[4]谢明华,葛敏,彭佳蓓,等.自动化发药系统在我院门诊药房的应用实践与体会[J].中国药房,2014,25(41):3889-3891.
[5]寿张轩,金雪.自动化建设给我院门诊药房带来的改变[J].中国药房,2012,23(1):45-47.
[6]冯国琴,杨阳,洪秀凤,等.持续质量改进在优化门诊服务中的应用及成效[J].现代医院,2016,16(2):243-246.
[7]盛长城,高玲,熊世娟,等.自动化药房运行模式在门诊的应用与实践[J].贵州医药,2015,39(10):916-917.
[8]何杏莲,刘锐锋,程小荣.自动化药房系统在某三甲综合医院门诊药房的应用与评价[J].今日药学,2016,26(8):592-605.
[9]MEEHAN CD,SILVESTRI A,STREET ED.Improving blood glucose monitoring in a hospital setting using the PDCA approach.Plan,do,check,act cycle[J].J Nurs Care Qual,1993,7(4):56-63.
[10]王海和,柯贤柱,陈先祥.三级医院评审准备中如何运用PDCA[J].中国卫生质量管理,2013,20(2):45-46.
[11]PROVANCE L,ALVIS D,SILFEN E.Quality improvement and public health:tetanus immunization in the emergency department[J].Am J Med Qual,1994,9(4):165-171.
[12]吕志杰,蔡吉玮,应苗法,等.基于自动发药机应用的门诊药房工作模式建立及持续质量改进[J].中国药师,2016,19(9):1770-1772.
[13]卫生部.三级综合医院评审标准实施细则(2011年版)[S].2011-11-25.