Application and Effect Analysis of Root Cause Analysis in Unreasonable Prescription of Proprietary Chinese Medicine
Objective To explore the application effect of root cause analysis(RCA)in irrational use management of proprietary Chinese medicine.Methods Through the hospital information management system(HIS)of our hospital,1200 prescriptions of oral Chinese patent medicine for emergency treatment in 1-6 months in 2022 were extracted,and the unqualified rate of oral Chinese pa-tent medicine prescriptions for emergency treatment in Qianmen(Trial)was obtained by referring to the Prescription Review Manage-ment Measures and Hospital Prescription Review Management Standards(Trial).Set up an RCA team to find out the proximal cause of the irrational use of proprietary Chinese medicines,identify the root cause,develop a feasible intervention plan,and implement it.After the implementation of intervention measures,1200 prescriptions of oral proprietary Chinese medicine were extracted for 1-6 months after the implementation of intervention measures.The unqualified rate of oral proprietary Chinese medicine prescriptions was obtained.Results The unqualified rate of prescription of oral proprietary Chinese medicine was 20.33％when the intervention was im-plemented,and the unqualified rate of prescription of oral proprietary Chinese medicine was 4.50％when the intervention was imple-mented,the control has achieved remarkable results.Conclusion The irrational use of proprietary Chinese medicines is mainly caused by system reasons.RCA helps to find the loopholes in the entire system management process,formulate feasible plans and implement them,and ensure the drug use safety of proprietary Chinese medicines from the source.
Chinese Patent MedicineUnreasonable PrescriptionRoot Cause AnalysisEffect Analysis
NETL
NSTL
万方数据
