摘要
目的:应用六西格玛DMAIC模型建立及实施门诊处方前置审核系统,保障患者用药安全,促进临床合理用药。方法:运用六西格玛法定义、测量、分析、改进与控制等步骤,科学、精细化制定审方规则库,通过系统拦截和药师干预模式,建立和完善我院处方前置审核系统,并持续优化流程管理。结果:我院门诊处方前置审核系统规则制定较为合理,临床认可度、接受度较高。系统审核后医师修改率平均为76.32%,药师干预率平均为63.23%,药师干预有效率平均为97.23%,合格率平均为96.87%,处方合理率较高。结论:基于六西格玛DMAIC模型建立及实施门诊处方前置审核系统,提高了门诊合理用药水平,有效保障了患者用药安全。
AIM:The pre-prescription system of outpatient was established and implemented based on six sigma DMAIC model to ensure the safety of drug use and promote rational of drug use.METHODS:The rules database was made scientifically and precisely,according to DMAIC model of Six Sigma--define,measure,analyze,improve and control.The pre-prescription system of our hospital was established and improved,through adopting the prescription review mode of interception and Intervention.And the process management was continued to optimize.RESULTS:The rule-making of pre-trial system for outpatient prescription in our hospital was reasonable,and the rate of clinical approval and acceptance was high.After the system audit,the average rate of doctor's revision was 76.32%,and the average rate of Pharmacist's intervention was 63.23%,the effective rate and qualified rate of pharmacist intervention were 97.23%and 96.87%,respectively.CONCLUSION:Based on Six Sigma DMAIC model,the pre-trial system for outpatient prescription was established and implemented,which improved the level of rational drug use,effectively ensured the safety of drug use,and improved the satisfaction of patients.
作者
汪琳
余建国
李晓
栾家杰
WANG Lin;YU Jianguo;LI Xiao;LUAN Jiajie(Department of Clinical Pharmacy,The First Affiliated Hospital of Wannan Medical College,Wuhu 241001,Anhui,China)
出处
《中国临床药理学与治疗学》
CAS
CSCD
2023年第7期780-787,共8页
Chinese Journal of Clinical Pharmacology and Therapeutics
基金
皖南医学院教学质量与教学改革工程项目(2022zyrc01)
皖南医学院弋矶山医院管理与服务创新项目(CX2023014)
高等学校省级质量工程项目(2022zybj103)。