CAJ | 학술논문

目的：探讨PDCA循环管理方法在持续改进医院处方质量中的应用效果。方法通过计划、实施、检查、制订巩固措施、总结和下一步打算(介于两循环之间)等5个阶段对本院2011年1月~2013年12月的门诊处方进行持续性监控及改进。结果2011~2013年本院的处方合格率由68.9%上升到98.5%，门诊抗菌药物使用率由58%下降到24%。结论 PDCA循环法有效解决以往工作中制度与落实脱节、执行与监督脱节，形成了一套完整的、循环往复的质量监控体系，其在本院持续改进处方质量中的成功经验也为PDCA循环在本院其他质量管理中的应用提供了借鉴。
목적：탐토PDCA순배관리방법재지속개진의원처방질량중적응용효과。방법통과계화、실시、검사、제정공고조시、총결화하일보타산(개우량순배지간)등5개계단대본원2011년1월~2013년12월적문진처방진행지속성감공급개진。결과2011~2013년본원적처방합격솔유68.9%상승도98.5%，문진항균약물사용솔유58%하강도24%。결론 PDCA순배법유효해결이왕공작중제도여락실탈절、집행여감독탈절，형성료일투완정적、순배왕복적질량감공체계，기재본원지속개진처방질량중적성공경험야위PDCA순배재본원기타질량관리중적응용제공료차감。
Objective To study the application effect of Plan-do-check-action (PDCA) cycle management approach on continuously improving the quality of hospital prescription. Methods Outpatient prescriptions were continuously moni-tored and improved by the following 5 stages including plan,implementation,check,establishing consolidated measures, and summarization and further plan (between two cycles) from January 2011 to December 2013 in our hospital. Results Prescription qualified rate rose from 68.9% to 98.5% and outpatient antimicrobial usage rate decreased from 58% to 24% in our hospital from 2011 to 2013. Conclusion PDCA cycle method effectively solves the disconnections between system and implementation,execution and supervision in the past work to establish a complete and cycled quality con-trol system.Successful experience of applying PDCA cycle method in continuous improvement of our hospital prescrip-tion quality provides a reference for other quality management in our hospital.