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采用品管圈缩短我院住院药房药品调配时间
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| 篇名： | 采用品管圈缩短我院住院药房药品调配时间 |
| TITLE： | |
| 摘要： | 目的：缩短我院住院药房药品调配时间，提升药学服务质量。方法：开展以“缩短住院药房药品调配时间”为主题的品管圈活动，按照品管圈的活动步骤，找出影响住院药房药品调配时间的关键环节和因素，针对真因制订相对应的对策并实施，再通过品管圈活动前后平均100张医嘱的药品调配时间等指标对本次活动效果进行评价。结果：针对住院药房药品调配用时最长的2个环节“调剂医嘱”和“核对医嘱”，通过采取对药品存放进行合理布局与设计及优化调配路线、加强系统信息化功能并实现大输液单医嘱电子化、加强易混淆药品管理、加强人员培训与建立绩效考核制度等对策提高了工作效率，药品调配时间由活动前的43.99 min缩短为活动后的21.77 min，目标达成率为99.24％；且圈员品管手法、责任心和团队凝聚力等方面均呈正向增长。结论：品管圈活动缩短了药品调配时间，提高了药师工作效率和解决问题能力，有助于提升住院药房药学服务品质。 |
| ABSTRACT： | OBJECTIVE： To shorten drug dispensing time of inpatient pharmacy in our hospital， and to enhance the quality of pharmaceutical care. METHODS： The activity of quality control circle （QCC） was carried out by using “shorten drug dispensing time of inpatient pharmacy” as subject. According to the steps of QCC activity， key links and factors that influence the of drug dispensing time in the inpatient pharmacy were found out. Countermeasures were formulated and implemented according to practical reasons. The activity was evaluated by using the drug dispensing time in every 100 medical orders before and after QCC activity. RESULTS： According to the links of “dispensing medical order” and “checking medical order” that spent longest time， the countermeasures were put forward to improve work efficiency， such as rational drug distribution and design， opmitization of the dispensing route， realizing electronic large infusion prescription by strengthening system informatization， strengthening the management of confusing drugs， strengthening staff training and establishing performance appraisal system. The drug dispensing time was shortened from 43.99 min （before QCC） to 21.77 min （after QCC）， and target achievement rate was 99.24％. QCC staff showed positive growth in means， responsibility， team cohesion and other aspects. CONCLUSIONS： QCC activity can shorten the time of drug dispensing， improve work efficiency and pharmacist’s ability of solving problem， and help to improve pharmaceutical care in the inpatient pharmacy. |
| 期刊： | 2018年第29卷第5期 |
| 作者： | 卓玉娟，罗宁，杨柳，乔彦茹，曹烈臻，黎联 |
| AUTHORS： | ZHUO Yujuan，LUO Ning，YANG Liu，QIAO Yanru，CAO Liezheng，LI Lian |
| 关键字： | 品管圈；住院药房；药品调配；调配时间 |
| KEYWORDS： | Quality control circle； Inpatient pharmacy； Drug dispensing； Dispensing time |
| 阅读数： | 1241 次 |
| 本月下载数： | 46 次 |
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