目的：探究开展品管圈（Quality control circle，QCC）实践活动对住院药房拆零药品质量管理的影响。方法：回顾性分析我院开展QCC活动前后住院药房拆零药品质量管理数据资料，统计实施QCC的成果和影响。结果：通过QCC活动，拆零药品质量管理情况有较大改善，药品变质、过期、调剂差错次数均大幅下降，达到预期效果；圈员各项活动成长值均为正值。结论：开展QCC可有效降低住院药房拆零药品质量管理中的差错事件，提高拆零药品质量管理，亦能有效提高药师的工作积极性、解决问题的能力及团队凝聚力。
Objective: To analyze the effect of carrying out quality control circle (QCC) practical activities in the quality management of dismounted drugs in inpatient pharmacy of our hospital. Methods: The quality management data of dismounted drugs in the inpatient pharmacy of our hospital before and after carrying out QCC activities were analyzed retrospectively. The results and impact of implementation of QCC activities were also analyzed. Results: The quality management of dismounted drugs had been greatly improved by QCC activities; the numbers of drug deterioration, expiration and dispensing errors had been greatly reduced and the expected results had been achieved, with an achievement rate of over 100%. Conclusion: Carrying out QCC can effectively reduce the errors in the quality management of dismounted drugs in inpatient pharmacy, improve the quality management of dismounted drugs, and can effectively improve the enthusiasm, problem-solving ability as well as team cohesion of pharmacists.
[1] 陈刚,刘小霞,花萍,等. 品管圈在持续改进药事质量管理的实践效果评价[J]. 中国医院管理,2016,36(11):78-80.
[2] 刘庭芳,刘勇. 中国医院品管圈操作手册[M]. 北京:人民卫生出版社,2013:8-10.
[3] 林志航,庄权权,林燕芳,等. 品管圈在降低病区药房调剂内部差错中的应用[J]. 中国药事,2016,30(2):191-195.
[4] 张良,张建刚,朱茜. 拆零药品管理存在的问题及对策[J]. 人民军医,2014,57(7):776-778.
[5] 郑日好. 拆零药品管理存在的问题及对策[J]. 中国药事,2016,20(11):659-660.
[6] 朱安祥,尤传萍,谢坪. 医院药品质量管理与临床用药安全[J]. 临床合理用药, 2014,3(7):153-154.
[7] 马陈芳. 品管圈活动用于药房管理中的成效评价[J]. 中医药管理杂志,2016,24(17):82-83.
[8] 李瑞艳,樊晶晶,王倩. 品管圈活动在医院高危药品管理中的应用[J]. 中华灾害救援医学,2014,2(11):622-624,628.
[9] 胡兰兰,张雨洁. 浅议品管圈活动在中心药房质量管理中的改善应用[J]. 中南药学,2016,14(9):1017-1020.
[10] 刘文侠. 品管圈的应用对住院药房调剂差错率的影响[J]. 北方药学,2016,13(12):156-157.
[11] 庄权权,林志航,林燕芳,等. 品管圈活动在减少住院药房退药差错中的应用[J]. 中国药事,2016,5(30):499-504.
[12] 何彩婷,廖丽文,彭倩华. PDCA循环在住院药房药品质量管理中的应用[J]. 药品评价,2016,13(4):28-30.
[13] 李莉,江红星. 品管圈活动在降低住院药房出院带药漏取率中的应用[J]. 安徽医学,2014,35(12):1753-1756.
[14] 鲁镜,甄健存. 医院药房口服药品拆零细节探讨[J].中国药业,2016,25(23):85-86.
[15] 马迪,焦扬,徐笑. 品管圈在提升我院门诊药房拆零药品管理水平中的应用实践[J]. 中国药房,2016,27(10):1381-1383.
