文章摘要
黄麟杰,李聪,熊琳,等.焦点循环管理法在提升门诊处方合理率中的应用[J].安徽医药,2019,23(5):1024-1027.
焦点循环管理法在提升门诊处方合理率中的应用
Application of FOCUS-PDCA management in improving the rational rate of out-patient prescriptions
  
DOI:10.3969/j.issn.1009-6469.2019.05.051
中文关键词: 药物处方  管理质量小组  处方不当  安全管理  焦点循环管理法  品管圈
英文关键词: Drug prescriptions  Management quality circles  Inappropriate prescribing  Safety management  Focus-PDCA  Quality control circle
基金项目:
作者单位E-mail
黄麟杰 湖北医药学院附属东风医院药学部,湖北 十堰 442008  
李聪 湖北医药学院附属东风医院药学部,湖北 十堰 442008  
熊琳 湖北医药学院附属东风医院药学部,湖北 十堰 442008  
朱军 湖北医药学院附属东风医院药学部,湖北 十堰 442008 467065960@qq.com 
刘慧敏 湖北医药学院附属东风医院药学部,湖北 十堰 442008  
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中文摘要:
      目的 提高门诊处方的合理率,保证病人用药安全。方法 利用焦点循环管理法(FOCUS-PDCA)对湖北医药学院附属东风医院2015年1月(干预前)和6月(干预后)的门诊处方进行回顾性评价,采用FOCUS对存在的问题进行整理分析,制订解决方案,采用PDCA法进行实施。结果 门诊处方不合格率由17.34%(366/2 110)下降到6.68%(115/1 700),与干预前对比,处方合理率明显得到提升(P<0.05),通过FOCUS-PDCA管理模式,成员的责任心、沟通交流、解决问题的能力都得到了极大的提升。结论 FOCUS-PDCA可以有效的提高门诊处方的合理率,提升药学服务质量。
英文摘要:
      Objective To improve the rational rate of outpatient prescriptions in our hospital and to ensure the safety of the patients.Methods The outpatient prescriptions of our hospital from January to June in 2015 were retrospectively evaluated using the FOCUS-PDCA method.FOCUS was used to sort out the existing problems and formulate solutions.PDCA method was applied to carry out the solutions.Results The disqualification rate of outpatient prescriptions decreased from 17.34%(366/2 110) to 6.68%(115/1 700).Compared with that before intervention,the prescription rational rate was significantly improved (P<0.05).By using the FOCUS-PDCA management mode,the responsibility,communication and problem-solving abilities of members have been greatly improved.Conclusion FOCUS-PDCA management method can effectively improve the reasonable rate of outpatient prescriptions and the quality of pharmaceutical care in our hospital.
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