持续改进在医院门诊处方质量管理中的作用
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摘要
目的:探讨持续质量改进在我院门诊处方质量管理中的作用。方法:采用PDCA管理循环法对我院门诊处方点评工作进行管理,找出不合理处方,分析原因,制定质量改进措施,进行持续改进并观察效果。结果:2015年6月-2016年1月与2016年2月-9月相比,不合理处方百分率显著降低(P<0.01);2016年2月-9月与2016年10月-2017年5月相比,不合理处方百分率也有所降低(P<0.05),处方质量持续改进达到预期目标。结论:质量持续改进应用于处方质量管理中,可有效提高门诊处方质量,进一步完善处方审核系统的事前干预措施,促进医院合理用药,保证医疗安全。
Objective: To explore the role of continuous quality improvements in quality management of outpatient prescriptions in our hospital. Methods: PDCA management cycle method was used to manage outpatient prescription reviews, identify unreasonable prescriptions, analyze causes, formulate quality improvement measures, carry out continuous improvements and observe effects. Results: The percentage of unreasonable prescriptions from February, 2016 to September, 2016 decreased significantly compared with that from June, 2015 to January, 2016(P<0.01). The percentage of unreasonable prescriptions from October, 2016 to May, 2017 also decreased compared with that from February, 2016 to September, 2016(P<0.05). The continuous improvements in prescription quality achieved the desired results. Conclusion: Continuous quality improvements in prescription quality management of outpatient prescriptions could effectively improve the quality of prescriptions, further improve the prior interventions of the prescription review system, promote the rational drug use in hospitals, and ensure medical safety as well.
Objective: To explore the role of continuous quality improvements in quality management of outpatient prescriptions in our hospital. Methods: PDCA management cycle method was used to manage outpatient prescription reviews, identify unreasonable prescriptions, analyze causes, formulate quality improvement measures, carry out continuous improvements and observe effects. Results: The percentage of unreasonable prescriptions from February, 2016 to September, 2016 decreased significantly compared with that from June, 2015 to January, 2016(P<0.01). The percentage of unreasonable prescriptions from October, 2016 to May, 2017 also decreased compared with that from February, 2016 to September, 2016(P<0.05). The continuous improvements in prescription quality achieved the desired results. Conclusion: Continuous quality improvements in prescription quality management of outpatient prescriptions could effectively improve the quality of prescriptions, further improve the prior interventions of the prescription review system, promote the rational drug use in hospitals, and ensure medical safety as well.
引文
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[2]林娟,钟既宁,陈丽,等.ICU中心静脉导管相关性血流感染持续质量改进的成效分析[J].中华医院感染学杂志,2013,23(12):2804.
[3]范国才,吴明东,王卫华.持续质量改进对甲状腺Ⅰ类手术围术期预防用药的管理作用[J].中华医院感染学杂志,2013,23(10):24-37.
[4]陈长英,田丽,曹小琴,等.护理质量持续改进的国内外实践与研究进展[J].中国护理管理,2012,12(1):14-16.
[5]钟建勋,程红.PDCA循环管理法在抗菌药物管理中的应用[J].中国药事,2018,32(2):250-255.
[6]邵庆平.PDCA循环管理方法在住院药房调剂差错分析中的运用[J].中国药事,2015,29(9):979-983.
[7]宁华,王欣,赵晶,等.应用处方审核系统实现门诊处方收费前审核的实践[J].药学实践杂志,2015,33(2):176-177.
[8]王欣,徐建,丁曦,等.我院门诊收费前审核处方的运行实践[J].中国药房,2016,27(4):461-463.
[9]卫生部.卫医管发[2007]53号处方管理办法[S].2007.
[10]卫生部.卫医管发[2010]28号医院处方点评管理规范(试行)[S].2010.
[11]卫生部.国卫办医发[2015]43号抗菌药物临床应用指导原则[S].2015.
[12]朱少惠,梁永洪,梁秀梅,等.处方点评意见反馈制度对促进合理用药的效果分析[J].中国医药导报,2013,10(5):157.
[13]朱红燕,朱春丽,贾巍.处方点评对持续改进处方质量的影响[J].医药导报,2012,31(4):544-546.
[14]王小毛,曾春生,黄作超.我院处方点评前后处方合格率的变化及质量分析[J].亚太传统医院,2011,10(7):206-207.
[15]孙培钦,王燕.30000张门诊电子处方点评与用药分析[J].中国医学创新,2013,10(26):157-159.
[16]王小毛,徐青云,肖雅丽,等.PDCA循环在我院处方点评中的应用[J].中国医学创新,2014,11(20):120-122.