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目的:加强对静配中心多个环节质量控制,降低退药率。方法:分析医院静配中心退药情况及原因,对各工作环节进行梳理,制定相应措施如加强审方人员培训,调整记账、发药时间并优化排班,加强药品管理,加强与临床沟通等,进行质量控制。通过比较实施质量控制前(2016年3-7月)与实施后(2016年8-12月)的退药比例评价相关措施的效果。结果:实施后退药率由5.94%下降到2.01%,降幅达66.16%;实施后还药差错率由0.007%下降到0.001%;浪费组数由0.004%下降到0.001%。结论:通过多环节质量控制,有效地减少了退药的发生,提高了静配中心工作效率。
Objective: To strengthen the quality control of multiple links in the static allocation center and reduce the withdrawal rate. Methods: To analyze the situation and reasons of the retreat in the static center of the hospital, to sort out the various aspects of the work, to formulate corresponding measures such as strengthening the training of the auditors, adjusting the accounting, delivery time and scheduling optimization, strengthening drug management, and strengthening clinical communication Etc., for quality control. The effectiveness of the relevant measures was evaluated by comparing the percentage of withdrawals prior to the implementation of quality control (March-July 2016) with implementation (August-December 2016). Results: The rate of drug withdrawal decreased from 5.94% to 2.01% with a decrease of 66.16%. The error rate of reimbursement dropped from 0.007% to 0.001% after implementation. The number of waste groups decreased from 0.004% to 0.001%. Conclusion: The quality control of multiple links effectively reduces the incidence of withdrawal and improves the work efficiency of the service center.