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目的:降低门诊西药房未取药品处方比例。方法:针对安吉县中医医院门诊西药房未取药品处方比例较高的现象,采用PDCA(计划、执行、检查、处理)循环方法及鱼骨图法等制定相关对策并实施,选择降低骨科(杨医师)和中内科(陈医师)处的未取药品处方比率为改善重点,并评价实施后240天(每个阶段40天,共6个阶段)对策实施效果。结果:陈、杨医师每10日未取药品处方数占每10日总处方数比率由改善前的4.534‰,降至改善后的2.608‰。结论:PDCA循环法具有系统性及科学性的管理优势,大大减少了医院门诊西药房未取药现象的发生次数,促进患者用药安全。
Objectives: To reduce the proportion of prescriptions not taken in outpatient western pharmacies. Methods: Aiming at the high proportion of prescriptions not taken by medicines in Anji Hospital of Traditional Chinese Medicine in outpatient department of Anji Hospital, PDCA (Plan, Execute, Check, Process) Physicians) and physicians (physicians) to improve the focus on the proportion of unmedicated medicines, and evaluation of 240 days after implementation (40 days each stage, a total of six stages) to implement the effect of the measures. Results: The prevalence rate of prescriptions per 10 days by Chen and Yang dropped from 4.534 ‰ before improvement to 2.608 ‰ after improvement. Conclusion: The PDCA circulation method has the advantages of systematic and scientific management, greatly reducing the number of unmedicated pharmacies in outpatient western pharmacies and promoting the safety of patients.