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目的:探讨PDCA循环管理方法在降低门诊药房调剂差错中的应用效果。方法:按照PDCA循环管理法,调查我院2015年、2016年门诊药房药品接近失误(内差)、药品差错(外差),分析差错及失误原因,并拟定措施、检查和落实,最后对实施效果进行评价。结果:针对门诊药房调剂差错的原因,完善管理制度,并与绩效挂钩,落实奖惩;量化岗位绩效(技术含量、工作强度、工作量);加强新进人员包括实习生带教及专业知识培训;加强药品管理,对易出错的药品设置警示标识;同时通过检查反馈及时调整药品货架。实施后,与2015年相比,2016年调剂差错指标有所下降,总差错发生率0.20‰,下降幅度23.01%。结论:应用PDCA循环管理方法能明显降低门诊药房调剂差错,使调剂差错率降低到预定目标值,是防范调剂差错的有效工具。
Objective: To explore the application of PDCA method in reducing errors in outpatient pharmacy dispensing. Methods: According to the PDCA cycle management method, we investigated the near-miss errors (internal difference), drug errors (heterodyne) of drug products in our hospital in 2015 and 2016, analyzed the errors and causes of errors, formulated the measures, examined and implemented them, Effect evaluation. Results: In view of the reasons for errors in outpatient pharmacy transfer, improve the management system, and linked with performance, implementation of rewards and punishments; quantify job performance (technical content, work intensity, workload); strengthen new entrants, including intern trainees and professional knowledge training; Strengthen drug management and set warning labels on error-prone medicines; adjust the drug shelf timely through inspection feedback. After the implementation, compared with 2015, the adjustment error index in 2016 has decreased, the total error rate of 0.20 ‰, a decrease of 23.01%. Conclusion: The application of PDCA cycle management method can significantly reduce the dispensing error of outpatient pharmacy and reduce the error rate of adjustment to a predetermined target value, which is an effective tool to prevent adjustment errors.