| 六西格玛管理法提升现代化门诊药房用药安全 |
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| 引用本文： | 蔡田恬,胡佳雯,谢升阳,王玮琴,施政,周芹清,王建平,郑韵,詹伟江. 六西格玛管理法提升现代化门诊药房用药安全[J]. 中国现代应用药学, 2018, 35(10): 1569-1572 |
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| 作者姓名： | 蔡田恬 胡佳雯 谢升阳 王玮琴 施政 周芹清 王建平 郑韵 詹伟江 |
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| 作者单位： | 浙江省中医院, 药剂科, 杭州 310006,浙江省中医院, 药剂科, 杭州 310006,浙江省中医院, 药剂科, 杭州 310006,浙江省中医院, 药剂科, 杭州 310006,浙江省中医院, 药剂科, 杭州 310006,浙江省中医院, 药剂科, 杭州 310006,浙江省中医院, 药剂科, 杭州 310006,浙江省中医院, 质量管理部, 杭州 310006,浙江省中医院, 信息部, 杭州 310006 |
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| 摘 要： | 目的 提高现代化门诊药房用药安全。方法 应用六西格玛质量管理体系中DMAIC模式，即定义、测量、分析、改进和控制5个步骤对门诊药房用药安全进行分析，找出影响用药安全的主要原因，制定相应的改进措施，降低用药安全因素。结果 用药差错率从0.064%降低至0.008 5%，改进前后比较，差异有统计学意义（P<0.05）。结论 在医院管理中，应用六西格玛管理法通过团队合作，数据分析，找出问题的关键因素，消除过程缺陷，实施流程改进是提高用药安全的有效方法。
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| 关 键 词： | 六西格玛管理法 用药安全 门诊药房 |
| 收稿时间： | 2017-12-20 |
| 修稿时间： | 2018-09-19 |
Six Sigma Management Method Improve Medication Safety in Modern Outpatient Pharmacy |
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| CAI Tiantian,HU Jiawen,XIE Shengyang,WANG Weiqin,SHI Zheng,ZHOU Qinqing,WANG Jianping,ZHENG Yun and ZHAN Weijiang. Six Sigma Management Method Improve Medication Safety in Modern Outpatient Pharmacy[J]. The Chinese Journal of Modern Applied Pharmacy, 2018, 35(10): 1569-1572 |
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| Authors: | CAI Tiantian HU Jiawen XIE Shengyang WANG Weiqin SHI Zheng ZHOU Qinqing WANG Jianping ZHENG Yun ZHAN Weijiang |
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| Affiliation: | Pharmaceutical Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China,Pharmaceutical Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China,Pharmaceutical Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China,Pharmaceutical Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China,Pharmaceutical Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China,Pharmaceutical Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China,Pharmaceutical Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China,Quality Management, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China and Information Department, Zhejiang Provincial Hospital of TCM, Hangzhou 310006, China |
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| Abstract: | OBJECTIVE To improve the medication safety of modern outpatient pharmacy. METHODS The DMAIC model of Six Sigma quality management system was used to analyze the medication safety of outpatient pharmacy in five steps:definition, measurement, analysis, improvement and control. The main reasons that influence the safety of medication were found out, and corresponding improvement measures were made to reduce the safety factors of medication. RESULTS Error rates decreased from 0.064% to 0.008 5%, the difference before and after improvement was statistically significant (P<0.05). CONCLUSION In hospital management, applying Six Sigma through teamwork, using data to talk about the key factors of the problem, eliminating process defects and implementing process improvement are effective ways to improve medication safety. |
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| Keywords: | Six Sigma quality management medication safety outpatient pharmacy |
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