CAJ | 학술논문

目的：降低我院住院药房退药率。方法按照PDCA管理法实施各项活动，应用查检表把握现状，亲和图分析退药率高的原因，采用鱼骨图探讨对策的拟定与实施，应用雷达图评价无形成果。结果住院药房退药率高的主要原因有医生未及时修改医嘱与患者用药依从性差等，针对以上原因，采取了将退药率纳入医院综合目标管理考核、建议医生查房后及时修改医嘱、提高患者用药依从性、加强护士核对药品、降低药房断药率等措施。取得的有形成果：我院住院药房退药率由9．57%降至0．92%，形成了退药标准化流程和制度；无形成果：PDCA小组成员在积极性、解决问题能力、自信心等方面有较大幅度的提高。结论 PDCA管理模式的应用对降低我院住院药房退药率是可行的。
목적：강저아원주원약방퇴약솔。방법안조PDCA관리법실시각항활동，응용사검표파악현상，친화도분석퇴약솔고적원인，채용어골도탐토대책적의정여실시，응용뢰체도평개무형성과。결과주원약방퇴약솔고적주요원인유의생미급시수개의촉여환자용약의종성차등，침대이상원인，채취료장퇴약솔납입의원종합목표관리고핵、건의의생사방후급시수개의촉、제고환자용약의종성、가강호사핵대약품、강저약방단약솔등조시。취득적유형성과：아원주원약방퇴약솔유9．57%강지0．92%，형성료퇴약표준화류정화제도；무형성과：PDCA소조성원재적겁성、해결문제능력、자신심등방면유교대폭도적제고。결론 PDCA관리모식적응용대강저아원주원약방퇴약솔시가행적。
Objective To reduce the drug repercussion rate of inpatient pharmacy in our hospital. Methods Activities were implemented according to PDCA cycle management,the present situation was analyzed by checklist,the reasons for high rate of drug repercussion in the inpatient pharmacy were analyzed by affinity diagram and the counter-measures were implemented by fishbone diagram. Intangible results were evaluated with radar chart. Results The main reasons for high drug repercussion rate were as follows:the prescriptions were not timely modified,the poor medication compliance of the patients,etc. The countermeasures were formulated and implemented:incorporate the rate of drug re-percussion integrated into hospital management by objective assessment,suggest doctors timely modified the prescrip-tions after rounds,improve the poor medication compliance of the patients,enhance the medicine check of nurses,re-duce the rate of drug supply interruption,etc. Tangible results showed that the rate of drug repercussion reduced from 9. 57% to 0. 92%,the standardized processes and systems of drug repercussion were formed. Intangible results showed that members had great improvement in enthusiasm,ability of solving problems and self-confidence. Conclusion Im-plementation of PDCA management can reduce the rate of drug repercussion.