品管圈在提高药师对用药不合理处方审出率中的作用_岳春雯.pdf

204 中国药事 2015 年 2 月 第 29 卷 第 2 期 合理用药 · · 品管圈在提高药师对用药不合理处方审出率中的 作用 岳春雯，王荣梅，刘新，魏国 （山东大学第二医院，济南 250033） 摘要 目的：分析品管圈在提高药师不合理处方审出率的作用和效果 , 以提高药师对用药不合理处方的审 出率，保障患者用药安全。方法：按照品管圈 (QCC) 的 10 个步骤，选定主题，拟定计划，把握现状，设 定活动目标，目标解析，拟定对策，实施与检讨对策，效果确认，检讨和改进，调查药师对用药不合理 处方的审核现状，查找影响药师正确审方的主要原因，并进行干预。对干预前后的数据进行比较分析。 结果 ：通过 6 个月的实践，药师对用药不合理处方的审出率由活动前的 50.52 升高到活动后的 79.23 ， % % 差异具有显著性意义。结论 ：应用品管圈管理法，可提高药师对用药不合理处方的审出率，值得推广。 关键词： 品管圈；处方审核；不合理用药检查 ； 中图分类号：R95 文献标识码：A 文章编号： 1002-7777(2015)02-0204-05 Experience of QCC Practice in Improving the Detected Rate of Unreasonable Drug Prescription Yue Chunwen, Wang Rongmei, Liu Xin, Wei Guo (The Second Hospital of Shandong University, Jinan 250033, China) Abstract Objective: To analyze the effects and functions of the quality control circle (QCC) in improving the detected rate of unreasonable drug prescription by pharmacists so as to improve the detected rate and guarantee the medication safety of patients. Methods: According to the ten steps of QCC, including picking up topics, making plan, understanding current conditions, setting activity goals, parsing targets, developing counterplans, implementing and reviewing schedules, confirming effectiveness, reviewing and improving current conditions of pharmacists’ examination on prescriptions with unreasonable medication were investigated, and the main factors that affected the pharmacists on prescribing were detected and intervened. Data before and after intervention were compared. Results: During 6 months of practice, the detected rate of unreasonable prescription by pharmacists increased from 50.52% before this investigation to 79.23% after this investigation, with significant differences. Conclusion: By applying QCC supervising method, the detected rate of unreas