中国药房2018，Vol.29Issue(11)：1466-1469,4.DOI:10.6039/j.issn.1001-0408.2018.11.07
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
Analysis of Effect Evaluation of PDCA Cycle Management Intervening in Small Package of TCM Formula Granule Dispensing
摘要
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％(170/4061) before intervention that of group A to 1.69％(85/5043) and 0.98％(53/5408) 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.关键词
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Key words
PDCA cycle management/Small package/TCM formula granule/Dispensing error/Dispensing time/Intervention effect分类
医药卫生引用本文复制引用
卢兴,钟慧,陈彪,黄玲,钟波,陈洁,王艳宁..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[J].中国药房,2018,29(11):1466-1469,4.基金项目
广西壮族自治区卫生和计划生育委员会自筹经费科研课题(No.Z20170041) （No.Z20170041）
