摘要
目的探讨PDCA在医院药学部临床药学服务管理中的应用效果,为提高临床药学服务质量和水平提供参考。方法 2014年5月我院将PDCA引入药学部临床药学服务管理中,通过不断改进,提高临床药学服务水平。统计2015年5月至2016年4月(设为观察组)医师接受率、临床合理用药率、药物不良事件率、患者病情转归、药物治疗的经济性、患者对药学服务的满意率等指标,并与2014年5月至2015年4月(设为对照组)上述指标对比,分析PDCA在提高药学部临床药学服务管理中的作用。结果观察组患者的医师接受临床药师干预率、合理用药率及患者满意率明显高于对照组(P<0.05),药物不良事件率、人均药物费用明显低于对照组(P<0.05),观察组治愈率比对照组高,但组间比较差异无统计学意义。结论 PDCA对于改善临床药学服务质量、促进临床合理用药、提高患者用药经济性具有确切效果,坚持用该制度管理临床药学服务质量,对提升医院管理水平具有重要意义。
Objective To explore the application effect of PDCA in clinical pharmacy service management of pharmacy department and provide a reference for improving the quality and level of clinical pharmacy service. Methods PDCA was introduced into clinical pharmacy service management in pharmaceutical department in our hospital in May 2014. Through continuously improvement, improve clinical pharmacy service. Calculated physician acceptance rate, clinical medication rate, drug adverse event rate, patient outcome and the economy of drug treatment, patients＇ satisfaction rate on pharmacy service and other indicators from May in 2015 to April in 2016（as the observation group）. Compared these indicators with those calculated from May in 2014 to April in 2015（as the control group） and analyzed the role of PDCA in improving clinical pharmacy service management in pharmacy department. Results Intervention acceptance rate from clinical pharmacists, rational drug use rate and patients＇ satisfaction in the observation group were significantly higher than those of the control group（P〈0.05）. Drug adverse event rate and drug costs per capita in the observation group were significantly lower than the control group（P〈0.05）. The cure rate of the observation group was higher than the control group, but there was no significant difference between two groups. Conclusion PDCA has a definite effect in improving clinical pharmacy service quality, promoting clinical rational drug use and improving the economy of patients＇ drug treatment. It is of significance to adhere to this system to manage clinical pharmacy service quality, which could enhance hospital management level.
出处
《医院管理论坛》
2017年第2期55-57,共3页
Hospital Management Forum
关键词
临床药学服务
管理
PDCA
Clinical pharmacy service
Management
PDCA
