Management and Control Effects of Traditional Chinese Medicine Injections Based on Multi-Disciplinary Collaborative Management Mode Combined with PDCA Quality Management Tool
Management and Control Effects of Traditional Chinese Medicine Injections Based on Multi-Disciplinary Collaborative Management Mode Combined with PDCA Quality Management Tool
OBJECTIVE:To probe into the effect of multidisciplinary collaborative management mode combined with PDCA quality management tool on the management of traditional Chinese medicine(TCM)injections in hospitals,so as to provide reference for promoting the rational application of TCM injections.METHODS:A multidisciplinary collaborative management group was set up,PDCA quality management tool was used and comprehensive intervention measures were taken to control the clinical application of TCM injections in Hebei Provincial Hospital of Chinese Medicine(hereinafter referred to as"the hospital").The intervention effects were compared in 2020 as before intervention,2021 as after phase-1 intervention and 2022 as after phase-2 intervention.RESULTS:Before intervention,the rational usage rate of TCM injections was 92.38%(3 008/3 256)in the hospital,which increased to 94.64%(3 740/3 952)and 97.34%(3 766/3 869)after phase-1 and phase-2 interventions,respectively,with statistically significant differences from before intervention(P<0.001),and the irrational application of TCM injections had been significantly improved.After phase-2 intervention,there were significant improvements in over-course and pipe unflushed compared with that after phase-1 intervention,with statistically significant differences(P<0.001),and the problems like mixed infusion of Western and Chinese medicine,inappropriate solvent dosages,inappropriate administration route,and improper choice of solvent types were not found.After intervention,the proportion of TCM injections-related adverse drug reactions to the total adverse drug reactions showed a decreasing trend year by year,in particularly,it was significantly lower in after phase-2 intervention than before intervention,with statistically significant differences(P = 0.013).CONCLUSIONS:The application of multidisciplinary collaborative management mode combined with PDCA quality management tool in the management of TCM injections in hospitals can significant improve the management quality,and this method is worth popularizing in hospital pharmacy management.
关键词
中药注射剂/多学科协作管理/PDCA/合理用药
Key words
Traditional Chinese medicine injection/Multidisciplinary collaborative management/PDCA/Rational drug application
维普
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