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某儿童医院应用品管圈提高门诊中成药处方合格率的实践
李敏,王燕,曹丹丹,洪远,董睛睛,王兰英
0
(江南大学附属儿童医院,无锡市儿童医院,江苏无锡 214002)
摘要:
目的:推广品管圈活动,保障儿童使用中成药的安全性与有效性。 方法:基于品管圈活动,分析探索存在的问题与可行 的改进措施,采用 PDCA 循环流程,通过比较分析开展品管圈活动前后儿童门诊中成药处方合格率评价改进方法并制订标准化 文件。 结果:重复用药和用法用量不适宜是导致儿童医院门诊中成药处方不合格的主要原因,采用完善人员组织架构、提高前 置审核力度、加强中成药合理使用规范化培训、落实处方考核制度后,处方合格率由 87. 00%提高至 96. 13%。 结论:品管圈活动 的开展能够有效地提升门诊中成药处方的合格率,既规范了中成药的使用,又提高了药师综合素养和医院药学服务的质量,保 障了患者的用药安全。
关键词:  品管圈  儿童  中成药  处方合格率
DOI:10.13407/j.cnki.jpp.1672-108X.2023.12.005
基金项目:江苏省药学会科研项目,编号 A202018、Q202224;南京医科大学科技发展基金一般项目,编号 NMUB2020286
Practice on Application of Quality Control Circle in Improving Qualified Rate of Outpatient Chinese Patent Medicine Prescriptions in a Children’s Hospital
Li Min, Wang Yan, Cao Dandan, Hong Yuan, Dong Qingqing, Wang Lanying
(Children’s Hospital Affiliated to Jiangnan University, Children’s Hospital of Wuxi, Jiangsu Wuxi 214002, China)
Abstract:
Objective: To promote quality control circle activities to ensure the application safety and effectiveness of Chinese patent medicine in children. Methods: Based on quality control circle activities, existing problems and feasible improvement measures were analyzed and explored. And the PDCA cycle process was adopted. By comparing and analyzing the improvement methods of qualified rate of outpatient Chinese patent medicine prescriptions in children’ s outpatient department before and after quality control circle activities, standardization documents were formulated. Results: Repeated medication and inappropriate dosage and usage were the main reasons for unqualified Chinese patent medicine prescriptions in children’ s hospitals. After implementing improved personnel and organizational structures, strengthening pre-review efforts, enhancing standardized training in the rational use of Chinese patent medicine, and implementing the prescription assessment system, the qualified rate of prescriptions increased from 87. 00% to 96. 13%. Conclusion: The development of quality control circle activities effectively improves the qualified rate of Chinese patent medicine prescriptions in outpatient clinics, which standardizes the use of Chinese patent medicine, improves the overall competence of harmacists and quality of pharmaceutical services in the hospital, and ensures the medication safety in children.
Key words:  quality control circle  children  Chinese patent medicine  qualified rate of prescriptions

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