首页|强化用药管理联合精益管理对中药饮片处方合理性及用药安全性的影响

强化用药管理联合精益管理对中药饮片处方合理性及用药安全性的影响

Impact of Strengthening Medication Management Combined with Lean Management on the Rationality of Traditional Chinese Medicine Decoction Prescription and Medication Safety

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目的:分析强化用药管理联合精益管理对中药饮片处方合理性及用药安全性的影响.方法:抽取2018年7月—2019年11月期间我院中药房的中药饮片处方共240份,其中,2018年7月-12月服用中药饮片治疗的患者120例实施传统管理,纳入实施前,2019年6月-11月服用中药饮片治疗的患者120例实施强化用药管理联合精益管理,并纳入实施后.评价及对比实施前后处方用药不良情况、服药不良反应发生率、处方调剂质量、患者治疗满意度.结果:实施后的处方用药不良情况发生率低于实施前(P<0.05);实施后患者的服药不良反应率低于实施前患者(P<0.05);实施后的处方调剂差错率低于实施前(P<0.05);实施后患者的治疗满意度高于实施前(P<0.05).结论:对中药饮片处方实施强化用药管理联合精益管理,可确保处方用药合理性,提高处方调剂质量,减少服药后不良反应,患者治疗满意度高,具有借鉴应用价值.
Objective:To analyze the impact of strengthening medication management combined with lean management on the rationality of traditional Chinese medicine decoction prescription and medication safety.Methods:A total of 240 prescriptions of TCM decoction pieces were collected from the TCM pharmacy of our hospital from July 2018 to November 2019.Among them,120 patients who took TCM decoction pieces for treatment from July to December 2018 were subjected to traditional management.From June to No-vember 2019,120 patients who took TCM decoction pieces for treatment implemented intensive medication management combined with lean management,and were included in the implementation.To evaluate and compare the adverse drug use,the incidence of adverse drug reactions,the quality of prescription dispensing and the satisfaction of patients before and after implementation.Results:The incidence of adverse drug use after implementation was lower than before implementation(P<0.05).The adverse reaction rate of patients after implementation was lower than that before implementation(P<0.05).The dispensing error rate after implementation was lower than before implementation(P<0.05).The satisfaction of patients after implementation was higher than that before implementation(P<0.05).Conclusion:The implementation of intensive medication management combined with lean management of TCM decoction pieces prescription can ensure the rationality of prescription medication,improve the quality of prescription dispensing,reduce the adverse reactions after medication,and have high treatment satisfaction of patients.

TCM Decoction Piece PrescriptionStrengthen Drug ManagementLean ManagementSafe Drug Use

罗旭明、钟邱、张永芳

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湛江中心人民医院药学部(广东湛江 524037)

中药饮片处方 强化用药管理 精益管理 安全用药

湛江市非资助科技攻关计划

2023B01241

2024

黑龙江医药
黑龙江省药品审评认证中心

黑龙江医药

影响因子:0.597
ISSN:1006-2882
年,卷(期):2024.37(3)
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