品管圈活动在减少病房西药房调剂差错中应用.doc

品管圈活动在减少病房西药房调剂差错中的应用 　　摘要：目的 通过品管圈的手法，降低病房西药房调剂差错，提高圈员解决问题的能力。方法：2014年3月在我院病房西药房联合其他职能部门推行品管圈活动，按品管圈活动10个步骤的要求，组织圈员讨论，选定主题为降低病房西药房调剂内差，并运用鱼骨图、流程图、雷达图等解决问题，对活动前调配差错进行统计，分析归纳出现差错的原因，制定出针对性的措施。结果：推行品管圈活动明显降低了配方调配差错率，目标达标率达到170.4%，实际目标改善率48.6%；圈员解决问题能力、责任心、沟通能力、自信心、团队凝聚力、积极性、品管手法和和谐度方面均为正向成长。结论：通过品管圈活动，降低调配差错率，培养了药师解决问题的能力，增强药师的集体凝聚力，确保药物治疗安全、有效 关键词：品管圈；病房西药房；调剂差错 Abstract：Objective By the way QCC reduce ward pharmacy dispensing errors， improve the ability to solve problems ring member. Methods March 2014 in our hospital ward pharmacy in conjunction with other departments to implement QCC，Quality control circle （QCC） was set up and various activities were carried out according to 10 steps of QCC. The theme was selected as to compare the error rate of dispensing western medicine. The ctivities were carried out according to the ten steps of QCC，the fish bone diagram，flow chart and radar chart wereused to solve problems. The errors was statistically summarized to find the reasons and the relevant measures were developed to reduce the errors before the QCC activities. Results The implementation of QCC can significantly reduce the error rate in dispensing TCM. The success rate of target was 170.4% with progress rate of 48.6%. The solving the question ability， responsibility，communication skill， self-confidence， team cohesion，enthusiasm， quality control methods and harmonious degree of the circle. Members were positive growth.Conclusion By QCC，the reduced error rate of dispensing Western medicine ensures safety and effective clinical medication.And the ability to solve problems of personnel is improved with the enhanced sense of group cohesiveness. Key words：Quality control circle ；Western medicine pharmacy；Dispensing error 品管圈（QCC）是Quality Control Circle的简称，是指工作性质相近或相关的人以自动自发的精神组圈，通过全体合作，集思广益，按照一定的活动程序，来解决部门内所发生的问题及课题，并因解决问题而实现自我价值[1]。近年来，国内的许多医院也引入全面质量管理概念，推行品管圈。药品调配工作是医院药房管理工作的重点和关键，高质量的药品调配服务可以最大程度地确保患者的用药安全，从而减少医患纠纷[2-3]。我院病房西药房成立了品管圈，共同学习和运用品管方法，降低调配中发药差错件数为