PDCA法在我院高危药品管理中的应用

目的：探讨PDCA（计划、执行、检查、处理）法在医院高危药品管理中的应用和效果。方法：从某院高危药品目录的确定、摆放、调剂、使用、检查等方面建立高危药品管理制度；根据制度实施后出现的实际问题再采用PDCA法，以提高高危药品标识正确率为指标分析原因、拟定对策、定期检查效果并进行质量持续改进。结果：采取了完善高危药品管理制度、编制高危药品知识手册、加强全员培训及重点科室的检查等多项措施进行质量持续改进，使高危药品标识正确率由改进前的80％提高到改进后的100％。结论：该院建立的高危药品管理制度切实可行，且PDCA法能够促进高危药品的管理。

Application of PDCA in the Management of High-alert Medications in Our Hospital

OBJECTIVE： To investigate the application and effect of PDCA management method （plan, do, check, action） in the management of hospital high-alert medications. METHODS： The management system of high-alert medications was established in respects of establishment of high-alert medicine list, arrangement, dispensary, application and examination. According to the problems of the management of high-alert medications, the project of increasing the accurate rate of high-alert medications logo was set up, and measures were made out on promotion followed by supervising the practice for continuous improvement using PD- CA. RESULTS： The countermeasures included improvir~g management system of high-alert medications, compiling information handbook, strengthening medical staff training and impoltant department checking, etc. After the implementation of PDCA cycle, the accurate rate of high-alert medications logo increased from 80% to 100%. CONCLUSIONS： Established management system of hospital high-alert medications is feasible and practical, and it can be improved by PDCA management method.