持续改进方案在医院门诊处方质量管理中的作用
Effect of Continuous Improvement in Quality Management of Outpatient Prescriptions of Hospitals
张怡1
作者信息
- 1. 海宁市海昌街道社区卫生服务中心,浙江 海宁 314400
- 折叠
摘要
目的 探究分析持续改进方案在医院门诊处方质量管理中的作用.方法 选取2022年1月—2023年7月本院门诊处方为研究样本.其中,2022年1-12月未实施持续改进方案,采取常规门诊处方质量管理方案为对照组(286例).2023年1-7月实施持续改进方案管理门诊处方质量为研究组(325例).总结实施持续改进方案后不合理处方情况,比较实施前后不合理处方占比、药物不良反应发生率.结果 实施持续改进方案后,经处方点评共发现9张不合理处方,主要问题包括超适应证用药、重复用药、遴选药品不合理、联合用药不合理等.实施持续改进方案后,不合理处方占比低于实施前(P<0.05);实施持续改进方案后,药物不良反应发生率低于对照组(P<0.05).结论 门诊处方质量管理中采用持续改进方案可降低不合理处方占比及药物不良反应发生率,可在医疗机构中全面推广应用.
Abstract
Objective To explore and analyze the role of continuous improvement in the quality management of hospital outpatient prescription.Methods The outpatient prescriptions of our hospital from January 2022 to July 2023 were selected as the study samples.Among them,no continuous improvement program was implemented from January to December 2022,and routine outpatient prescription quality management program was adopted as the control group(286 cases).From January to July 2023,the continuous improvement program was implemented to manage the quality of outpatient prescriptions in the study group(325 cases).The irrational prescriptions were summarized after the implementation of continuous improvement,and the proportion of irrational prescriptions and the incidence of adverse drug reactions were compared before and after implementation.Results After the implementation of the prescription review,a total of 9 unreasonable prescriptions were found,the main problems included off-label drug use,repeated drug use,unreasonable drug selection,unreasonable drug combination,etc.After implementation,the proportion of irrational prescriptions was lower than before implementation(P<0.05);The incidence of adverse drug reactions was lower than that of control group(P<0.05).Conclusion The continuous improvement scheme in outpatient prescription quality management can reduce the proportion of unreasonable prescriptions and the incidence of adverse drug reactions,and can be widely applied in medical institutions.
关键词
持续改进/门诊/处方/质量管理Key words
Continuous improvement/Outpatient department/Prescription/Quality control引用本文复制引用
出版年
2024
NETL
NSTL
万方数据