PDCA循环管理方法在我院药品不良反应监测管理中的应用效果分析

发布时间：2018-06-29 21:59

本文选题：PDCA循环 + 药品不良反应　；参考：《中国药房》2015年28期

【摘要】：目的:探讨PDCA(计划、实施、检查、处理)循环管理方法在我院药品不良反应(ADR)监测工作中的应用效果。方法:分析我院2012年ADR监测工作中存在的问题,运用PDCA循环法进行干预,评价管理实施1年后的改进效果。结果:实施PDCA循环管理后,通过完善ADR监测的管理制度、将ADR监测纳入临床药师考核体系、建立ADR网络上报平台、加强医务人员的培训、传递ADR信息及加强重点药品品种的ADR监测,2013年我院ADR上报数量增加了18.37%,其中新的和严重的ADR上报比例明显升高(由22.28%增至38.42%);ADR上报来源方面,病区ADR上报率明显增加(由8.16%增至43.84%);抗菌药物和中药制剂导致的ADR占比均明显下降(分别由54.52%、23.03%下降至43.84%、13.30%);ADR临床表现方面,累及皮肤及其附件的比例也显著下降(由53.64%下降至39.41%)。结论:PDCA循环管理法用于我院ADR监测工作的管理成效显著。
[Abstract]:Objective: to investigate the effect of PDCA (planning, implementation, inspection, treatment) circulation management in monitoring adverse drug reactions (ADR) in our hospital. Methods: the problems existed in ADR monitoring in our hospital in 2012 were analyzed. PDCA circulation method was used to intervene and evaluate the effect of management improvement after one year. Results: after the implementation of PDCA circulation management, ADR monitoring was brought into the examination system of clinical pharmacists, ADR network reporting platform was established, and the training of medical personnel was strengthened by perfecting the management system of ADR monitoring. In 2013, the number of ADR reports in our hospital increased by 18.37, in which the proportion of new and serious ADR reports increased significantly (from 22.28% to 38.42%). The ADR reporting rate increased significantly (from 8.16% to 43.84%), the proportion of ADR caused by antimicrobial agents and traditional Chinese medicine decreased significantly (from 54.52% to 43.84%), and the proportion of ADR involving the skin and its appendages decreased significantly (from 53.64% to 39.41%). ConclusionThe effect of the control method on ADR monitoring in our hospital by using the proportion PDCA circulation management method is remarkable.
【作者单位】：南京医科大学附属苏州医院药学部;
【分类号】：R95

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