PDCA循环管理法在前列地尔注射液超说明书剂量用药干预中的应用

发布时间：2018-06-21 21:09

本文选题：PDCA循环管理法 + 前列地尔注射液　；参考：《中国药房》2015年27期

【摘要】：目的:为强化医院超说明书剂量用药管理提供参考。方法:运用PDCA循环管理法,在计划阶段调查我院内分泌科2012年7月前列地尔注射液(Lipo-PGE1)超说明书剂量使用现状,发现问题,寻找原因,制订干预目标和措施;在实施阶段进行干预,在检查阶段定期审核医嘱,并在处理阶段抽查2013年同期数据,分析干预效果,将干预流程标准化。结果:PDCA循环干预前共分析用药医嘱943条、患者126例次,分别按用药患者数、用药医嘱数和药品使用量计算,超说明书剂量用药发生率分别为39.68%、31.50%和47.90%;经过一个PDCA循环干预后,调查2013年同期用药医嘱414条、患者73例次,结果超说明书剂量用药发生率为0。干预前后Lipo-PGE1的实际处方日剂量(PDD)由13.15μg下降到说明书规定的范围内(10.00μg),下降率23.95%;药物使用强度(DUD)由59.82下降到20.07,下降率66.45%。干预前后Lipo-PGE1的超说明书剂量用药发生率、PDD、DUD比较,差异均有统计学意义(P0.05)。本次干预达到了预期的目标值。结论:PDCA循环管理法以其条理清晰的工作思路和持续改进的循环方法,为医院超说明书剂量用药管理提供了一个可行的途径。
[Abstract]:Objective: to provide reference for strengthening the management of overdose medication in hospital. Methods: by using PDCA circulation management method, we investigated the present situation of the use of Lipo-PGE1 overdose in the Endocrinology Department in July 2012, found the problems, looked for the causes, and worked out the intervention goals and measures. The intervention is carried out in the implementation stage, the doctor's order is reviewed regularly in the inspection stage, and the data of the same period in 2013 are checked at the processing stage, the intervention effect is analyzed, and the intervention process is standardized. Results before the intervention, 943 prescriptions were analyzed, 126 cases of patients, calculated according to the number of patients, the number of medical orders and the amount of drugs used, the incidence of overdose drug use was 39.68% and 47.90% respectively, after a PDCA cycle intervention, the incidence of drug use was 39.68% and 47.90%, respectively, after a PDCA cycle intervention, the incidence of drug use was 39.68% and 47.90% respectively. In the same period of 2013, 414 prescriptions were investigated, 73 times of patients. The results showed that the incidence of overdose drug use was 0. 5%. Before and after intervention, the actual daily dose of Lipo-PGE1 decreased from 13.15 渭 g to 10.00 渭 g / g within the range specified in the instruction, and the drop rate was 23.95%, and the intensity of drug use decreased from 59.82 to 20.07, and the decrease rate was 66.45%. Before and after intervention, the incidence of over-dose of Lipo-PGE1 was significantly higher than that of PDDD-DUD. The intervention reached the expected target value. Conclusion with its clear working idea and continuously improving circulation method, the WPDCA circulation management method provides a feasible way for the management of overdose medication in hospital.
【作者单位】：广东省人民医院/广东省医学科学院药学部;中山大学药学院;
【分类号】：R95

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