品管圈活动在提高我院门诊处方合格率中的应用.docVIP

品管圈活动在提高我院门诊处方合格率中的应用 田 旭＊，孙丽蕊，张红梅，郭秋实，宋燕青#，曲晓宇（吉林大学第一医院二部药剂科，长春 130031）  中图分类号 R95  文献标志码 C  文章编号  1001-0408（2013）25-2344-03 DOI 10.6039/j.issn.1001-0408.2013.25.15  摘 要  目的：提高我院门诊处方合格率。方法：按照品管圈理论实施各项活动，分析处方合格率低的原因，探讨并实施解决的对 策，评价有形成果和无形成果，制订标准化工作流程。结果：针对导致处方合格率低的来自信息系统、医师、药师和患者的原因，制 订并实施了完善医院信息系统、建议采取相关奖罚措施、培训医师合理用药知识、对患者开展用药教育、提高药师自身专业水平等 对策。活动后有形成果即处方合格率由 85.5％提高到了 95.7％，无形成果中圈员的沟通能力、解决问题能力、自信心等有较大幅 度的提高；再制订了标准化流程文件，确保整个循环能够持续运行。结论：品管圈活动的开展对提高我院门诊处方合格率是可行 的，建议推广应用。 关键词 品管圈；门诊；处方合格率；对策；成果  Application of QCC in the Improvement of the Passing Rate of Outpatient Prescriptions in Our Hospital TIAN Xu，SUN Li-rui，ZHANG Hong-mei，GUO Qiu-shi，SONG Yan-qing，QU Xiao-yu（Dept. of Pharmacy，Di- vision，The First Hospital of Jilin University，Changchun 130031，China） ABSTRACT OBJECTIVE：To improve the passing rate of outpatient prescriptions in our hospital. METHODS：Activities were im- plemented according to the theory of Quality control circle（QCC），and the reasons for low passing rate of prescription were ana- lyzed to investigate and implement countermeasures. Tangible results and intangible results were evaluated，and standardization pro- cesses were made. RESULTS：Because main reasons for low passing rate of prescription were from information system，physi- cians，pharmacists and patients，the countermeasures were formulated and implemented，i.g. consummating the hospital information system，implementing rewards and punishment，conducting rational use of drugs training，developing medication education for pa- tients and improving the professional skills. Tangible results：the passing rate of prescription was improved from 85.5％ to 95.7％ . Intangible results：members had great improvement in communication skills，ability of problem solving，self-confidence. The standard- ization documents were made to ensure the PDCA can continuously run. CONCLUSIONS：The implementation of QCC can im- prove the passing rate of prescription，and should be applied and spread. KEY WORDS Quality cont