席永宽,魏骅,王浩,等.中药饮片调配剂量误差控制方法探究[J].安徽医药,2021,25(9):1893-1898. |
中药饮片调配剂量误差控制方法探究 |
Research on the control method of dosage error of traditional Chinese medicine dispensing |
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DOI:10.3969/j.issn.1009-6469.2021.09.047 |
中文关键词: 中药饮片 调配 剂量误差 过程控制方法 控制图 因果图 |
英文关键词: Chinese herbal pieces Dispensing Dose error Process control method Control chart Cause and effect diagram |
基金项目:安徽省中药监管科学研究中心 2020年重点课题项目( RH2000000551);安徽中医药发展研究中心 2020年委托课题项目( ZDZHIKU202002) |
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中文摘要: |
目的探索医院中药房中药饮片调配剂量误差的过程控制方法。方法选取 2020年 2月 10—29日作为样本抽取时间段。采用抽签法,从阜阳市中医医院中药房随机选取一名中药调剂员,随机抽取其包装好的中药进行称重校对,所得样本数据作为实验组;使其再另外随机称量 100.00 g药物,称重校对后所得样本数据作为对照组。采用 SPSS 17.0进行统计分析,并进一步完成控制图绘制。结果所绘制的均值 -极差控制图结果显示,第 3个和第 9个样本均值分别为 8.01 g和 7.90 g,均超出了上控制线值 7.52 g且远高于上警戒线值 5.00 g;且第 9个样本的极差值为 32.89 g,远高于其上控制线值 19.42 g,处于严重失控状态,即提示受特殊原因影响。结论通过绘制控制图,能够及时识别中药饮片调配过程中剂量方面出现的异常偏差;再通过绘制因果图,可明确此异常偏差产生的特殊原因,以便进一步采取针对性预防措施。 |
英文摘要: |
Objective To explore the process control method of dosage error of Chinese Herbal Pieces dispensing in hospital pharmacy.Methods The time period from February 10 to 29, 2020 was selected as the sampling period. A Chinese medicine dispenserwas randomly selected from the traditional Chinese Medicine Pharmacy of Fuyang Hospital of Traditional Chinese Medicine by drawinglots. The packaged Chinese medicine was randomly selected for weighing and proofreading, and the sample data was taken as the experimental group; Another 100.00 g drug was weighed randomly, and the sample data obtained after weighing and proofreading were usedas the control group. SPSS17.0 was used for statistical analysis. And the control chart drawing was further completed.Results The results of the mean and range control chart showed that the average values of the third and ninth samples were 8.01 g and 7.90 g, respectively, which exceeded the upper control line value by 7.52 g and were much higher than the upper warning line value of 5.00 g. Therange value of the ninth sample was 32.89 g, which was much higher than the upper control line value of 19.42 g, indicating that it wasseriously out of control.Conclusion By drawing the control chart, we can timely identify the abnormal deviation in the dosage of Chinese Herbal Pieces in the process of dispensing; and by drawing the cause and effect diagram, we can identify the special reasons forthe abnormal deviation, so as to take further targeted preventive measures. |
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