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中国医药导刊 ›› 2024, Vol. 26 ›› Issue (12): 1257-1266.

• 管理实践 • 上一篇    下一篇

基于课题达成型品管圈构建患者需求导向型的出院带药新模式

李宇扬, 潘南莲, 何耀杰, 陈敏仪, 谢彦媛, 梁淑贞*   

  1. 南方医科大学第十附属医院/东莞市人民医院药学部,广东 东莞 523000
  • 收稿日期:2024-07-24 修回日期:2025-01-06 出版日期:2024-12-28 发布日期:2024-12-28
  • 基金资助:
    东莞市社会发展科技项目(20231800938682)

Construction of Patient-Oriented Discharge Medication Mode Based on Project-Achieving Quality Control Circle

  1. Department of Pharmacy the Tenth Affiliated Hospital of Southern Medical University / Dongguan People's Hospital
    Guangdong Dongguan 523000, China
  • Received:2024-07-24 Revised:2025-01-06 Online:2024-12-28 Published:2024-12-28

摘要:

目的:探讨课题达成型品管圈用于构建患者需求导向型出院带药新模式的应用效果。方法:成立品管圈并选定“构建患者需求导向型的出院带药新模式”为本期品管圈活动主题,并严格遵循PDCA循环,按照课题达成型品管圈的十大步骤开展活动,评价活动实施后的有形成果和无形成果。结果:有形成果方面,患者高峰期平均候药时间由实施前的45 min缩短到实施后的15.4 min,出院带药患者满意度由90.09%提高到98%,药品漏取率由4.75%下降到0.29%,高峰期平均调剂时间由5 min缩短到2.5 min,差错率由0.417%下降到0%;无形成果方面,活动实施后品管圈圈员的责任心、积极性、自信心、拓展思维、品管手法的认识、沟通及协调能力、团队精神、解决问题能力的评分较实施前均有提高。结论:本研究中课题达成型品管圈构建的患者需求导向型的出院带药新模式,可以有效提高出院带药药学服务质量,提高药师的综合素质及能力。


关键词: 品管圈, 课题达成型, 出院带药, 药学服务

Abstract:

Objective: To explore the application effect of project-achieving quality control circleQCCin the construction of a new discharge medication mode based on patient needs.Methods: The QCC team was established and the theme of the QCC activity was "building a new discharge medication mode based on patient needs". Strictly implement the PDCA cycle and the 10 steps of project-achieving QCC to carry out activities. The tangible and intangible results after the implementation of QCC activities were evaluated.Results: In terms of tangible achievements after the implementation of QCC activitiesthe average waiting time of patients in peak period was reduced from 45 minutes to 15.4 minutes The patients' satisfaction with discharged medication service increased from 90.09% to 98%. The omission rate of taking medicine at discharge decreased from 4.75% to 0.29%. The average time for filling prescriptions in peak period reduced from 5 minutes to 2.5 minutes and the rate of dispensing errors reduced from 0.417% to 0%. In terms of intangible achievements after the implementation of QCC activitiesthe QCC members' scores of the sense of responsibility sense of positivity self-confidenceexpanding thinking skills of QCC skills of communication and coordination team spirit and problem-solving ability improved compared with those before the implementation.Conclusion: In this study the new discharge medication mode based on patient needs contructed by project-achieving QCC can effectively improve the quality of pharmaceutical care and the comprehensive quality and ability of pharmacists.


Key words:  , Quality control circle , Project-achieving , Discharge medication , Pharmaceutical care

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