品管圈在降低中心药房药品破损率中的应用
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摘要
目的:利用品管圈的管理方法,组成中心药房药品破损改善品管圈,降低中心药房药品破损率,降低因药品破损带来的损失。方法:根据吉林大学第一医院中心药房的实际情况,成立品管小组。通过对可行性、迫切性、圈能力的综合投票,确定以"降低中心药房药品破损率"为主题,对医院中心药房每月药品调剂、运输及贮藏中产生破损的数量及原因进行有效分析,找出缺陷并制定相应的对策计划,对比活动开展前后药品破损率的改善情况。结果:中心药房药品破损率平均值由开圈前的293.66%降低至结圈时的95.68%,降低了197.98个百分点,并且达到了设定的标准。结论:在实际工作中恰当运用质量管理方法,能够加强药品管理,降低药品破损率,减少药品损失。本次活动中,圈员在处理问题的能力、面对问题的勇气、责任心和积极性等方面都得到了明显提高。
Objective: To form improvement drug breakage quality control circle(QCC) in central pharmacy according to the QCC management methods so as to reduce drug breakage rate and to reduce the loss caused by drug breakage. Methods: Quality control group was set up based on the actual situation of the central pharmacy, the First Hospital of Jilin University. To reduce drug breakage rate in central pharmacy was determined to be the theme after the comprehensive voting on feasibility, urgency and the capability of the circle. The monthly number and the causes of drug breakage during the drug dispensing, transportation and storage in the central pharmacy were analyzed to identify defects and develop appropriate countermeasures. The improvement of the drug breakage rate before and after the QCC activity was compared. Results: The average drug breakage rate in the center pharmacy decreased from 293.66% before the circle was formed to 95.68% afterwards, decreased by 197.98% and reached the set standard. Conclusion: In practice, proper use of quality management methods can strengthen drug management, reduce the drug breakage rate and drug loss. The ability to deal with the problem, the courage to face the problem, responsibility and enthusiasm, etc., of the members of the QCC have been significantly improved.
Objective: To form improvement drug breakage quality control circle(QCC) in central pharmacy according to the QCC management methods so as to reduce drug breakage rate and to reduce the loss caused by drug breakage. Methods: Quality control group was set up based on the actual situation of the central pharmacy, the First Hospital of Jilin University. To reduce drug breakage rate in central pharmacy was determined to be the theme after the comprehensive voting on feasibility, urgency and the capability of the circle. The monthly number and the causes of drug breakage during the drug dispensing, transportation and storage in the central pharmacy were analyzed to identify defects and develop appropriate countermeasures. The improvement of the drug breakage rate before and after the QCC activity was compared. Results: The average drug breakage rate in the center pharmacy decreased from 293.66% before the circle was formed to 95.68% afterwards, decreased by 197.98% and reached the set standard. Conclusion: In practice, proper use of quality management methods can strengthen drug management, reduce the drug breakage rate and drug loss. The ability to deal with the problem, the courage to face the problem, responsibility and enthusiasm, etc., of the members of the QCC have been significantly improved.
引文
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[2]刘馨,尚尔宁,李波,等.品管圈在降低住院药房药品破损量中的应用[J].中国现代药物应用,2015,9(22):283-284.
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[5]庄权权,林志航,林燕芳,等.品管圈活动在减少住院药房退药差错中的应用[J].中国药事,2016,30(5):499-504.
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[8]梁铭会,刘廷芳,董四平.品管圈在医疗质量持续改进中的应用研究[J].中国医院管理,2010,32(2):37-39.
[9]郑莉,陈珊,包莹敏.品管圈对降低住院药房差错件数的作用[J].中医药管理杂志,2017,(12):93-94.
[10]蔡卓倩,宋惠珠,杨华,等.品管圈在提高全自动摆药机分包前流程效率中的应用[J].中国药房,2017,(13):1801-1804.
[11]陈建芳,秦蕾.品管圈用于降低门诊药房调配差错率的实践[J].中国药事,2016,(7):722-728.
[12]林志航,庄权权,林燕芳,等.品管圈在降低病区药房调剂内部差错中的应用[J].中国药事,2016,(2):191-195.
[13]岳春雯,王荣梅,刘新,等.品管圈在提高药师对用药不合理处方审出率中的作用[J].中国药事,2015,(2):204-208.
[14]陆国红,吴隽,沈金芳,等.采用品管圈方法优化药学服务流程[J].中国医院,2009,(9):15-18.
[15]薛晓红,谢辉平.品管圈在门诊药房管理中的应用[J].中南药学,2010,(12):936-939.
[16]陈春玲,朱华,许建国.缩短住院药房药品调配时间的品管圈活动实践[J].中国药业,2016,(6):72-75.
[17]张继红,李珺玲.通过品管圈活动降低门诊西药房处方调配差错率[J].临床合理用药杂志,2016,(2):19-21.
[18]刘庭芳.我国医院品管圈活动综述[J].中国医院,2015,(7):1-3.
[19]吴佳维,李蕾,戴燕鸣,等.品管圈提高门诊药房盘点账物相符率实践与体会[J].中国药业,2017,26(8):87-92.
[20]李莎,张丽娜,李友佳.运用PDCA循环提高门诊西药房麻醉药品处方合格率[J].中国药事,2017,31(5):556-559.
[2]刘馨,尚尔宁,李波,等.品管圈在降低住院药房药品破损量中的应用[J].中国现代药物应用,2015,9(22):283-284.
[3]陈敏,窦志华.品管圈在我市医院药事管理中的应用[J].中国药事,2016,30(6):615-619.
[4]付文焕,王晓舜,施孝金,等.品管圈活动在药剂科制剂部门的应用与成效[J].中国药事,2009,23(10):1033-1036.
[5]庄权权,林志航,林燕芳,等.品管圈活动在减少住院药房退药差错中的应用[J].中国药事,2016,30(5):499-504.
[6]林瑞荣.品质管理[M].厦门:厦门大学出版社,2000:146-150.
[7]周微,张杰,李月阳.品管圈在降低静脉药物配置中心药物破损率的应用分析[J].实用药物与临床,2015,18(8):999-1000.
[8]梁铭会,刘廷芳,董四平.品管圈在医疗质量持续改进中的应用研究[J].中国医院管理,2010,32(2):37-39.
[9]郑莉,陈珊,包莹敏.品管圈对降低住院药房差错件数的作用[J].中医药管理杂志,2017,(12):93-94.
[10]蔡卓倩,宋惠珠,杨华,等.品管圈在提高全自动摆药机分包前流程效率中的应用[J].中国药房,2017,(13):1801-1804.
[11]陈建芳,秦蕾.品管圈用于降低门诊药房调配差错率的实践[J].中国药事,2016,(7):722-728.
[12]林志航,庄权权,林燕芳,等.品管圈在降低病区药房调剂内部差错中的应用[J].中国药事,2016,(2):191-195.
[13]岳春雯,王荣梅,刘新,等.品管圈在提高药师对用药不合理处方审出率中的作用[J].中国药事,2015,(2):204-208.
[14]陆国红,吴隽,沈金芳,等.采用品管圈方法优化药学服务流程[J].中国医院,2009,(9):15-18.
[15]薛晓红,谢辉平.品管圈在门诊药房管理中的应用[J].中南药学,2010,(12):936-939.
[16]陈春玲,朱华,许建国.缩短住院药房药品调配时间的品管圈活动实践[J].中国药业,2016,(6):72-75.
[17]张继红,李珺玲.通过品管圈活动降低门诊西药房处方调配差错率[J].临床合理用药杂志,2016,(2):19-21.
[18]刘庭芳.我国医院品管圈活动综述[J].中国医院,2015,(7):1-3.
[19]吴佳维,李蕾,戴燕鸣,等.品管圈提高门诊药房盘点账物相符率实践与体会[J].中国药业,2017,26(8):87-92.
[20]李莎,张丽娜,李友佳.运用PDCA循环提高门诊西药房麻醉药品处方合格率[J].中国药事,2017,31(5):556-559.