精细化管理在住院药房药品数量化管理中的应用

目的:通过精细化管理提高住院药房账物符合率,实现药品的数量化管理,为提高药房管理水平提供参考。方法:采用回顾性分析和前后对照的研究方法,找出2009年5-8月药品数量化管理相关各环节存在的问题和缺陷,制订相应的持续改进措施,并对比改进前、后(2009年9-12月)、再次改进后(2010年9-12月、2011年9-12月及2012年9-12月)的统计数据,评价改进效果。结果:通过优化盘点流程、完善盘点方法,加强培训、责任到人,规范药品入库验收制度等一系列改进措施后,账物符合率较改进前显著上升,达到99%(P<0.05);影响账物符合率的各项因素得到明显控制,其中居前列的未知原因的药品差异、数量点错等随着数量化管理的进程逐步消失。结论:精细化管理提高了药品管理水平,为规范化、标准化、系统化的药房管理创造了有利条件。

Application of Lean Management in Drug Quantitative Management in the Inpatient Pharmacy

OBJECTIVE： To provide references for the improvement of pharmacy management level by implementing lean man- agement to realize quantitative management of drug and to improve the consistency between the accounts and the real numbers of drugs in the inpatient pharmacy. METHODS： By retrospective analysis and control study, various issues related to quantitative man- agement of drugs during May--Aug. 2009 were discovered, and appropriate measures for sustaining quality improvement were im- plemented. By comparing the data of drug management before and after implementation （Sept.--Dec. 2009） and after improvement （ Sept. -- Dec. 2010, Sept. -- Dec. 2011 and Sept. -- Dec. 2012 ）, the effects of lean management were evaluated. RESULTS ： After ap- plying quality improvement, such as optimizing stock taking procedure, improving the method for stock taking, strengthening train- ing and individual responsibility and standardizing drug warehouse entry inspection system, the coincidence rate of accounts-drugs was significantly increased, up to 99% （P〈0.05） ; the influencing factors were obviously controlled. With the process of lean man- agement, the errors of unknown reason and the wrong number of drugs which were among the forefront of all the errors disap- peared gradually. CONCLUSIONS ： Lean management advances evidently the quality of drug management. It is an important guar- antee to enhance the standardization and systematization of drug management in the inpatient pharmacy.