摘要
目的降低病区退药率,提升药学服务质量。方法医院住院部药房以“降低病区退药率”为主题开展品管圈活动,分别于活动前(2020年5月1日至7月31日)、活动中(2020年8月1日至10月31日)、活动后(2020年11月1日至12月31日)调取相应时段内医嘱,计算退药率;分析退药影响因素,确定改善重点,找出导致病区退药率高的真因,通过建立完善的退药制度、规范退药流程、规范医师医嘱、加强人员培训和医患沟通等,以平均退药率为有形成果判断指标,以圈员的解决问题能力、沟通协调能力、责任心、积极性、团队凝聚力及品管圈手法得分为无形成果判断指标,比较活动开展前后的效果。结果有形成果,该院不规范退药现象减少,全院平均退药率由活动前的7.58%明显降低至活动中的3.82%,后平缓降至活动后的3.25%,目标达成率为121.29%,进步幅度为57.12%;无形成果,圈员的解决问题能力、沟通协调能力、责任心、积极性、团队凝聚力及品管圈手法得分分别由3.3分、1.8分、3.0分、2.0分、1.9分、1.0分升至4.0分、3.9分、3.5分、3.9分、4.2分、3.8分。结论品管圈活动可有效降低病区退药率,有助于提升医院药学服务质量。
Objective To reduce the rate of drug repercussion in hospital wards,and to improve the quality of pharmaceutical care.Methods The quality control circle(QCC)activity with the theme of"reducing the rate of drug repercussion in the ward"was carried out in the inpatient department of the hospital.The medical orders in the corresponding period were selected before the activity(from May 1 to July 31,2020),during the activity(from August 1 to October 31,2020)and after the activity(from November 1 to December 31,2020),and the rate of drug repercussion was calculated.The influencing factors of drug repercussion were analyzed,the key factors of improvement were determined to find out the real causes of the high rate of drug repercussion in the ward.Through establishing a perfect drug repercussion system,standardizing the drug repercussion process,standardizing medical orders,and strengthening personnel training and doctor-patient communication,the effects before and after the activity were compared with the average drug repercussion rate as the judgment index of tangible results,and with the scores of problem-solving ability,communication and coordination ability,sense of responsibility,enthusiasm,team cohesion and QCC skills of circle members as the judgment index of intangible results.Results Tangible results showed that the phenomenon of non-standard drug repercussion in the hospital was reduced,the average drug repercussion rate in the whole hospital decreased from 7.58%before the activity to 3.82%during the activity,and then steadily decreased to 3.25%after the activity,the target achievement rate was 121.29%,and the progress rate was 57.12%.Intangible results show that the scores of problem-solving ability,communication and coordination ability,sense of responsibility,enthusiasm,team cohesion and QCC skills of circle members increased from 3.3 points,1.8 points,3.0 points,2.0 points,1.9 points and 1.0 point to 4.0 points,3.9 points,3.5 points,3.9 points,4.2 points and 3.8 points,respectively.Conclusion The QCC activity can effectively reduce the rate of drug repercussion in the hospital ward and help to improve the quality of pharmaceutical care in the hospital.
作者
卓玉娟
黄蔚松
王鹤
罗宁
丁玲
ZHUO Yujuan;HUANG Weisong;WANG He;LUO Ning;DING Ling(Department of Pharmacy,Chongqing Jiangjin District Central Hospital,Chongqing,China 402260)
出处
《中国药业》
CAS
2022年第12期42-46,共5页
China Pharmaceuticals
基金
重庆市自然科学基金面上项目[cstc2020jcyj-msxmX0434]。
关键词
品管圈
住院部药房
退药率
药学服务
药事管理
quality control circle
inpatient pharmacy
drug repercussion rate
pharmaceutical care
pharmaceutical management
