采用PDCA循环管理方法干预小袋包装中药配方颗粒调剂的效果分析
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篇名: 采用PDCA循环管理方法干预小袋包装中药配方颗粒调剂的效果分析
TITLE:
摘要: 目的:提高小袋包装中药配方颗粒的调剂质量,降低调剂差错率、缩短摆药时间。方法:对我院中药房小袋包装中药配方颗粒的调剂,从“人、机、环、法、物”5个方面找出关键影响因素进行两轮PDCA循环管理干预。比较PDCA循环管理干预前(2015年7-12月,A组)、第1轮PDCA循环管理干预组(2016年1-6月,B组)、第2轮PDCA循环管理干预组(2016年7-12月,C组)3个阶段的调剂内差、摆药时间,评价管理效果。结果:通过改善调剂环境、建立调剂标准操作规程、制订奖惩制度、人员培训等整改措施,经过两轮PDCA 循环管理干预后,我院中药房小袋包装中药配方颗粒的调剂差错率由干预前A组的4.19%(170/4 061)下降至干预后B、C组的1.69%(85/5 043)、0.98%(53/5 408)(P<0.05或P<0.01),剂数为7剂的处方平均摆药时间由干预前A组的(9.08±2.56) min缩短至干预后B、C组的(7.37±1.98)、(5.97±1.64) min(P<0.05)。结论:我院实施的PDCA循环管理干预可降低小袋包装中药配方颗粒的调剂差错率、缩短摆药时间。
ABSTRACT: OBJECTIVE: To improve dispensing quality of small package of TCM formula granule, reduce the rate of dispensing error and shorten dispensing time. METHODS: Key influential factors for small package of TCM formula granule dispensing in our hospital were found out from 5 respects of “man, machine, environment, method, material”; two cycles of PDCA cycle management intervention were conducted. Dispensing internal error and dispensing time were compared before PDCA cycle management intervention (Jul.-Dec. 2015, group A), first cycle of PDCA cycle management intervention (Jan.-Jun. 2016, group B) and second cycle of PDCA cycle management intervention (Jul.-Dec. 2016, group C), the effects of management were evaluated. RESULTS: By improving dispensing environment, establishing dispensing standard operation procedure, formulating reward and punishment system, staff training, after 2 cycles of PDCA cycle management intervention, the rate of small package of TCM formula granule dispensing error in TCM pharmacy of our hospital decreased from 4.19% (170/4 061) before intervention that of group A to 1.69% (85/5 043) and 0.98% (53/5 408) in group B and C after intervention (P<0.05 or P<0.01). Average dispensing time of each prescription with 7 doses were shortened from (9.08±2.56) min before intervention (group A) to (7.37±1.98), (5.97±1.64) min in group B and C after intervention (P<0.05). CONCLUSIONS: PDCA cycle management intervention in our hospital can reduce the rate of small package of TCM formula granule dispensing error and shorten dispensing time.
期刊: 2018年第29卷第11期
作者: 卢兴,钟慧,陈彪,黄玲,钟波,陈洁,王艳宁
AUTHORS: LU Xing,ZHONG Hui,CHEN Biao,HUANG Ling,ZHONG Bo,CHEN Jie,WANG Yanning
关键字: PDCA循环管理;小袋包装;中药配方颗粒;调剂差错;摆药时间;干预效果
KEYWORDS: PDCA cycle management; Small package; TCM formula granule; Dispensing error; Dispensing time; Intervention effect
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