PDCA循环在重点监控药品管理中的应用效果

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英文篇名：Application Effects of PDCA Circulation on Management of Key Monitoring Drugs in a Hospital 作者：袁雍 ; 邵燕飞 ; 毛小红 ; 叶晓兰 ; 胡颖 ; 石佳娜 ; 郑小春 ; 杨秀丽 英文作者：YUAN Yong;SHAO Yanfei;MAO Xiaohong;YE Xiaolan;HU Ying;SHI Jiana;ZHENG Xiaochun;YANG Xiuli;Tongde Hospital of Zhejiang Province;Zhejiang Provincial People's Hospital; 关键词：计划-实施-检查-处理(PDCA) ; 重点监控药品 ; 管控 ; 药品费用 ; 合理用药 英文关键词：plan-do-check-act(PDCA);;key monitoring drugs;;management and control;;drug expense;;rational use 中文刊名：XDYD 英文刊名：Chinese Journal of Modern Applied Pharmacy 机构：浙江省立同德医院;浙江省人民医院; 出版日期：2019-06-26 14:03 出版单位：中国现代应用药学 年：2019 期：v.36 语种：中文; 页：XDYD201912026 页数：5 CN：12 ISSN：33-1210/R 分类号：134-138

摘要

目的评价计划-实施-检查-处理(PDCA)循环管理方法提高重点监控药品合理使用管控措施的效果。方法应用PDCA循环管理方法完善重点监控药品管控制度、监测预警、点评通报、考核奖惩等措施,比较2016年7月—2017年6月(PDCA执行前)和2017年7月—2018年6月(PDCA执行后)重点监控药品管控效果。结果执行PDCA循环管理方法前后,重点监控药品的DDDs从1 442 055.98下降至1 221 586.24,销售金额从13 916.27万元下降至12 315.75万元,使用合理率从61.53%上升至87.01%。结论 PDCA循环管理方法能改善重点监控药品管控效果。
        OBJECTIVE To evaluate the effect of plan-do-check-act(PDCA) cycle management method on improving key monitoring drugs control measures. METHODS PDCA cycle management method was applied to improve key monitoring drugs control system, early warning, reward and punishment system as well, control efficacy of key monitoring drugs between July 2016-June 2017(before PDCA implementation) and July 2017-June 2018(after PDCA implementation) was compared.RESULTS After implementation of PDCA cycle management, the DDDs of key monitoring drugs fell from 1 442 055.98 to1 221 586.24, the sales amount fell from 139 162 725.28 yuan to 123 157 464.54 yuan, the reasonable use rate increased from61.53% to 87.01%. CONCLUSION Application of PDCA cycle can improve control efficacy of key monitoring drugs.

引文

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