中国药物应用与监测
中國藥物應用與鑑測
중국약물응용여감측
CHINESE JOURNAL OF DRUG APPLICATION AND MONITORING
2014年
6期
383-386
,共4页
崔晋涛%刘萍%曹媛媛%柴栋
崔晉濤%劉萍%曹媛媛%柴棟
최진도%류평%조원원%시동
品管圈%门诊药房%过期药品%报损率
品管圈%門診藥房%過期藥品%報損率
품관권%문진약방%과기약품%보손솔
Quality control circle%Outpatient pharmacy%Expired medicine%Loss rate
目的：探讨品管圈活动对降低药品过期造成的药品损耗的效果。方法：成立品管圈，按照品管圈的步骤实施各项活动，运用头脑风暴法分析产生药品过期损耗高的原因，采取鱼骨图及关联图手法探讨解决的对策并实施，评价有形成果（过期药品报损率），采用雷达图评价无形成果（圈能力）。结果：我院过期药品损耗率高的主要原因是医生获得药品信息不.，药师工作有疏漏，频繁更换药品规格、厂家、批号及商业配送近效期药品等。针对上述原因制定了相应的工作制度及多项措施，并纳入药品养护的工作流程。定期组织对医生、药师进行业务知识、相关制度强化培训等有效措施。活动后成效显著，过期药品报损率由0.230%降低至0.021%。药师在品管圈手法、责任感、团队精神、沟通及协调能力等方面都有大幅度提高。结论：品管圈活动对我院降低药品过期报损率发挥了重要作用。
目的：探討品管圈活動對降低藥品過期造成的藥品損耗的效果。方法：成立品管圈，按照品管圈的步驟實施各項活動，運用頭腦風暴法分析產生藥品過期損耗高的原因，採取魚骨圖及關聯圖手法探討解決的對策併實施，評價有形成果（過期藥品報損率），採用雷達圖評價無形成果（圈能力）。結果：我院過期藥品損耗率高的主要原因是醫生穫得藥品信息不.，藥師工作有疏漏，頻繁更換藥品規格、廠傢、批號及商業配送近效期藥品等。針對上述原因製定瞭相應的工作製度及多項措施，併納入藥品養護的工作流程。定期組織對醫生、藥師進行業務知識、相關製度彊化培訓等有效措施。活動後成效顯著，過期藥品報損率由0.230%降低至0.021%。藥師在品管圈手法、責任感、糰隊精神、溝通及協調能力等方麵都有大幅度提高。結論：品管圈活動對我院降低藥品過期報損率髮揮瞭重要作用。
목적：탐토품관권활동대강저약품과기조성적약품손모적효과。방법：성립품관권，안조품관권적보취실시각항활동，운용두뇌풍폭법분석산생약품과기손모고적원인，채취어골도급관련도수법탐토해결적대책병실시，평개유형성과（과기약품보손솔），채용뢰체도평개무형성과（권능력）。결과：아원과기약품손모솔고적주요원인시의생획득약품신식불.，약사공작유소루，빈번경환약품규격、엄가、비호급상업배송근효기약품등。침대상술원인제정료상응적공작제도급다항조시，병납입약품양호적공작류정。정기조직대의생、약사진행업무지식、상관제도강화배훈등유효조시。활동후성효현저，과기약품보손솔유0.230%강저지0.021%。약사재품관권수법、책임감、단대정신、구통급협조능력등방면도유대폭도제고。결론：품관권활동대아원강저약품과기보손솔발휘료중요작용。
[ABSTRACT]Objective:To explore the effect of quality control circle (QCC) activity in reducing the medicine loss caused by expiration.Methods:Each step was carried out according to QCC. Speciifcally, brainstorming method was applied to analyze the reason of a high level for the expired medicine, ifshbone diagram and association graph were used to explore solutions and evaluate tangible results (reported loss rate of expired medicine), while radar diagram was adopted for assessing intangible outcomes (ability of QCC) and formulating standardized process.Results:The results strongly suggested that the major reasons for high loss rate of expired medicine were the inefifcient communication with doctors about medicine information, the careless omission in pharmacists' work, the frequent change of medicine speciifcation, producer, batch number and the commercial distribution of medicines which were close to the expired date, etc. Corresponding working system and many measures were brought into working process of medicine conservation to improve the situation. As a result, the reported loss rate of the expired drug decreased from 0.230% to 0.021%. Some remarkable elevations in terms of QCC skills, sense of responsibility, team spirit, capability of communication and coordination were registered. Conclusion: Implementation of QCC plays an important role in reducing ratio of the overdue medicines in our hospital.
