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我院住院药房药品调剂流程的优化实践
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| 篇名： | 我院住院药房药品调剂流程的优化实践 |
| TITLE： | |
| 摘要： | 目的：改进并优化我院住院药房药品调剂流程。方法：运用PDCA循环法，对我院住院药房药品调剂流程进行现状调查、问题分析、措施制定、实施干预、评估并完善。以2017年3－5月为干预前、6－8月为干预后，通过问卷调查、定期自查等方式收集数据，分析干预前住院药房药品调剂流程中存在的问题并提出改进措施，制定新的药品调剂流程和领药时间表，并加强规范合理领药的培训及宣讲，同时改进医院信息系统；在干预实施后，以日均领药次数和领药时间、临床科室满意度为考察指标，进行干预措施的成效评估，提出新问题并开展持续改进工作。结果：我院住院药房药品调剂流程的主要问题是领药次数过多、领药时间过长。干预措施实施后，全院日均领药次数由（57.7±6.2）次减少为（26.9±0.9）次，降幅为53.4％；全院日均领药时间由（1 041.6±91.6）min减少至（265.5±12.9）min，降幅为74.5％；各临床科室的日均领药次数和日均领药时间均显著减少，以上数据与干预前比较差异均有统计学意义（P＜0.05或P＜0.01）。结论：PDCA循环法的运用能优化住院药房药品调剂流程，明显减少领药次数和领药时间，有效提高工作效率。 |
| ABSTRACT： | OBJECTIVE： To improve and optimize the process of drug dispensing of inpatient pharmacy in our hospital. METHODS： According to the method of PDCA， the process of inpatient pharmacy drug dispensing in our hospital were investigated and analyzed in respects of situation， existing problems， measure formulation， intervention， evaluation and improvement. The data were collected by questionnaire survey and regular self-examination before （Mar.-May 2017） and after （Jun.-Aug. 2017） intervention. The existing problems in drug dispensing process of inpatient pharmacy were analyzed before intervention so as to propose improvement measures. The new process of drug dispensing and getting drug schedule were formulated； the training and publicity about getting drug rationally were further standardized， and the hospital information system was improved. After the implementation of intervention， the effects of intervention measures were evaluated and new problems were put forward using the average daily frequency and time of getting drug， satisfaction degree of clinical department as indexes； then the process of drug dispensing was improved continously. RESULTS： The main problems existing in the process of drug dispensing were high frequency and long-time of getting drug in the inpatient pharmacy of our hospital. After the implementation of intervention measures， the average daily frequency of getting medicine decreased from （57.7±6.2） times to （26.9±0.9） times， decreasing by 53.4％； the average daily time of getting medicine decreased from （1 041.6±91.6） min to （265.5±12.9） min， decreasing by 74.5％. The average daily frequency of getting drug， the average daily time of getting drug decreased significantly in each clinical department； there was statistical significance in above data， compared with before intervention （P＜0.05 or P＜0.01）. CONCLUSIONS： PDCA cycle can improve inpatient pharmacy dispensing process and significantly reduce the frequency and time of getting drug. Also， it can improve work efficiency of pharmacy. |
| 期刊： | 2018年第29卷第24期 |
| 作者： | 单雪峰，孔令希，龙锐，古满平，罗添文，胡宗会，邱峰 |
| AUTHORS： | SHAN Xuefeng，KONG Lingxi，LONG Rui，GU Manping，LUO Tianwen，HU Zonghui，QIU Feng |
| 关键字： | PDCA；药品调剂；流程优化；住院药房 |
| KEYWORDS： | PDCA； Drug dispensing； Process optimization； Inpatient pharmacy |
| 阅读数： | 1055 次 |
| 本月下载数： | 39 次 |
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