中国药物警戒 ›› 2020, Vol. 17 ›› Issue (7): 412-417.
DOI: 10.19803/j.1672-8629.2020.07.07

• 法规与管理研究 • 上一篇    下一篇

品管圈在提升我院药品不良反应报告监测水平中的应用

杨娟艳, 杨芳蓉, 杨爽, 代建松, 杨玲, 包刚*   

  1. 印江土家族苗族自治县人民医院,贵州 铜仁 555200
  • 收稿日期:2020-02-12 修回日期:2020-06-22 出版日期:2020-07-15 发布日期:2020-06-22
  • 通讯作者: *包刚,男,本科,主任医师,医疗质量与安全管理。E-mail:1274191418@qq.com
  • 作者简介:杨娟艳,女,硕士,主管药师,医院药学。

Application of QCC in Improving Monitoring of ADR Reports in a Hospital

YANG Juanyan, YANG Fangrong, YANG Shuang, DAI Jiansong, YANG Ling, BAO Gang*   

  1. People's Hospital of Yinjiang Tujia and Miao Autonomous County, Tongren Guizhou 555200, China
  • Received:2020-02-12 Revised:2020-06-22 Online:2020-07-15 Published:2020-06-22

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摘要： 目的 为提升药品不良反应（ADR）报告监测管理水平,提高ADR监测管理质量,促进安全合理用药。方法 药剂科运用品管圈（QCC）管理工具,统计我院活动前ADR上报数据,设计ADR监测管理中存在问题的原因查检表,把握医院ADR监测的现状,拟定改善措施并进行效果确认。结果 活动后ADR监测管理水平有较大提升,病程未记录、上报不及时、报告填写不规范等情况的频次大幅度下降,改善幅度为68.1%,目标达成率分别为123.1%、112.5%及116.7%;沟通协调能力和工作效率明显提高,品管圈手法进步较显著。结论 我院开展的品管圈活动,规范了ADR报告的监测管理,提高了患者安全合理用药及药物警戒意识。

关键词: 品管圈, 药剂科, 药品不良反应, 监测管理, 药物警戒

Abstract: Objective To enhance the monitoring and management of adverse drug reaction (ADR)reports so as to improve the quality of ADR surveillance and management and promote the safe and rational use of drugs. Methods The data on ADR reports was statistically analyzed and designed by the Department of Pharmacy as a table to find, using QCC management tools, the causes of problems with ADR surveillance and management before the QCC was employed. Measures for improvement were drafted and the effect was confirmed. Results After the adoption of the QCC, the level of ADR monitoring and management was greatly improved. The incidence of unrecorded causes of disease, delayed reports and improper writing of reports was decreased significantly, with an improvement rate of 68.1%. The target achievement rates were 123.1%, 112.5% and 116.7%, respectively. The levels of communication and coordination and work efficiency were obviously improved, and the QCC technique was improved significantly. Conclusion The QCC activities carried out in our hospital have helped to standardize the monitoring and management of ADR reports while improving the patients' awareness of safe and rational drug use.

Key words: quality control circle, pharmacy department, adverse drug reactions, monitoring and management, pharmacoligilance

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