The application of PDCA cycle mode in the key monitoring drug management system of a tertiary public hospital
Objective To apply the PDCA cycle model to manage the use of key monitored drugs,and to provide a reference for the quality management of key monitored drugs in medical institutions.Methods Compared the consumption and prescription reviews of key monitored drugs before and after adopting the PDCA method in a hospital.The control group was the hospitalized cases with the traditional management method in 2019,and the observation group was the hospitalized cases with the PDCA management method in 2020 and 2021.Results After the implementation of PDCA cycle management,the consumption amount of key monitored drugs decreased sharply.Unreasonable prescription problems such as inappropriate indications,inappropriate dosage of drugs,inappropriate selected drugs,and inappropriate combination drugs have been effectively controlled,and the proportion of national key monitored drugs decreased from 6%in 2019 to 1.79%in 2020 and 0.17%in 2021;The prescription pass rate continued to increase.Conclusion The PDCA cycle management method is aimed at the continuous closed-loop management of key monitored drugs,which can significantly control the drug cost of patients,reduce the economic burden of patients,promote rational drug use,reduce the incidence of adverse reactions,and ensure the quality of medical care.
Key monitoring drugsPDCA cycle management methodRational use of medicines