品管圈在降低门诊药房药品调配差错中的运用-中国药房.PDFVIP

品管圈在降低门诊药房药品调配差错中的运用 ＊ # 张 琳 ，陆伟国，冯轶杉，余 薇，陈嘉宜，余自成（上海市杨浦区中心医院药剂科，上海 200090） 中图分类号 R95 文献标志码 A 文章编号 1001-0408（2014）37-3489-04 DOI 10.6039/j.issn.1001-0408.2014.37.11 摘 要 目的：降低门诊药房处方调配差错率，保障患者安全用药。方法：分析造成门诊药房调配差错的原因，采用品管圈方法拟 定对策，评估对策实施的效果。结果：针对药品调配差错多为数量发错和品种发错的原因，制订并实施了电子处方单上增设剂型 警示标签和定位码，对工作区域内药架整理进行岗位划分，制作培训手册、对轮转人员等进行岗前培训，重新设计统一药品标识等 对策。活动后，调剂差错率由每周0.82％降为0.17％，圈员在学习能力、工作积极性等方面有较大幅度的提高。结论：品管圈活动 的开展有效减少了工作中存在的问题，使门诊药房日常的药品调配工作更加准确、快捷和高效，降低了调配差错率。 关键词 品管圈；门诊药房；调配差错率 Application of Quality Control Circle in Reducing Drug Dispensing Error in Outpatient Pharmacy ZHANG Lin ，LU Wei-guo ，FENG Yi-shan ，YU Wei ，CHEN Jia-yi ，YU Zi-cheng （Dept. of Pharmacy ，Shanghai Yangpu District Central Hospital ，Shanghai 200090，China ） ABSTRACT OBJECTIVE ：To reduce the prescription dispensing error （PDE ）rate in outpatient pharmacy ，and to ensure the safe- ty of drug use. METHODS ：Through analyzing the cause of PDE ，QCC was used to propose target measures and the effects of the target measures were evaluated. RESULTS ：The dispensing errors mainly were wrong number and wrong type. The following coun- termeasures had been made and implemented ，as adding dosage form warning signs and alignment codes in electronic prescrip- tions ；arranging drug shelf in his own working zone ，dividing the post and formulating training manual ；providing pro-employment training for staff in shifts ；redesigning unified drug marker. After QCC activities ，the dispersing errors were reduced from 0.82％to 0.17％per week ；in the meantime ，the capacity of QCC members was greatly improved in many aspects ，including learning ability and enthusiasm. CONCLUSIONS ：The development of QCC effectively solves the problems in routine work ，and results in the im- provement of the efficiency and accuracy of drug dispensing in outpatient pharmacy ，and decreases the PDE rate. KEYWORDS Quality control ci