首页|应用PDCA循环管理降低抗肿瘤药物临床试验中不规范性问题的发生率

应用PDCA循环管理降低抗肿瘤药物临床试验中不规范性问题的发生率

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目的 探讨PDCA循环管理在降低抗肿瘤药物临床试验中不规范性问题发生率的应用效果。方法 某医院自2020年7月开始将PDCA循环管理用于抗肿瘤药物临床试验质量管理中,选取2019年7月-2020年6月在研的抗肿瘤药物临床试验7项为对照组,2020年7月-2021年6月在研的抗肿瘤药物临床试验7项为PDCA整改组,对其试验资料进行统计分析,比较PDCA循环管理实施前(对照组)和实施后(整改组)的临床试验过程中病历书写、方案偏离、不良事件、合并用药问题及知情同意问题的发生情况及不规范性问题的发生率。结果 PDCA循环理论实施后(整改组)的临床试验中不规范性问题的发生率为30。8%,显著低于实施前(对照组)的80%,差异有统计学意义(P=0。005)。结论 将PDCA循环管理应用于抗肿瘤药物临床试验质量管理,效果显著,有助于规范临床试验过程,保护受试者权益,提高临床试验质量。
Substandard Practices in Clinical Trials of Antitumor Drugs Reduced by PDCA Cycle Management
Objective To explore the applicability of PDCA cycle management in quality control of clinical trials of antitumor drugs.Methods Starting from July 2020,the PDCA cycle theory was applied to quality control of clinical trials of antitumor drugs in our hospital.The seven clinical trials of antitumor drugs completed between July 2019 and June 2020 were selected as the control group while another seven clinical trials of antitumor drugs completed between July 2020 and June 2021 served as the improvement group.The trial data was statistically analyzed to contrast not only the rate of problems related to the writ-ing of medical records involving deviations from the protocol,adverse events,drug combinations and informed consent,but also the incidence of substandard practices in clinical trials before and after the implementation of the PDCA cycle theory.Results The incidence of substandard practices in clinical trials after the implementation of the PDCA cycle theory(the improvement group)was 30.8%,much lower than 80%before the implementation(the control group),so the difference was statistically significant(P= 0.005).Conclusion The application of the PDCA cycle theory in quality control of clinical trials of antitu-mor drugs has delivered remarkable results,which helps standardize clinical trials,protect the rights and interests of subjects and improve the quality of clinical trials.

PDCA cycle managementclinical trials of antitumor drugsquality control

席红领、郭佳、王为然、张强

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730050 甘肃兰州,联勤保障部队第940医院

PDCA循环管理 抗肿瘤药物临床试验 质量管理

2024

解放军药学学报
中国人民解放军总后勤部卫生部 药品仪器检验所

解放军药学学报

影响因子:0.529
ISSN:1008-9926
年,卷(期):2024.37(1)
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