PDCA循环在规范长春西汀注射液使用中的改善作用

Effectiveness of PDCA Cycle on the Vinpocetine Injection Usage Rationality

关键词:  长春西汀注射液  处方点评  PDCA

Key words:  vinpocetine injection  prescription evaluation  PDCA

摘要:

目的 采用PDCA手段，使用专项处方点评模式，规范浙江大学医学院附属杭州市第一人民医院辅助用药长春西汀注射液的临床使用。方法 以全院使用长春西汀注射液的临床科室为研究对象，实施PDCA循环法。药学部成立长春西汀注射液使用专项点评小组，制定评价细则，抽取全院使用长春西汀注射液病例进行点评，连续3期。经过反馈、沟通、达成共识、公示等环节，比较3期之间长春西汀注射液使用合理情况的差异，评估专项点评效果。结果 经过3期专项处方点评，全院长春西汀注射液使用不合理率从39.80%下降至13.30%（P<0.05）。第1期点评结果中不合理率较高的科室也取得了较大的改善。结论 通过PDCA循环管理，有效规范了长春西汀注射液的临床使用，可将其用于其他药品的使用管理。

Abstract:

OBJECTIVE To standardize the clinical use of vinpocetine injection, one of the adjuvant drugs in Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine. The PDCA cycle prescription evaluation be used in this process. METHODS The PDCA cycle method was implemented, the clinical department of using vinpocetine injection in the hospital as the research object. The pharmacy department established the special evaluation team for the use of vinpocetine injection and formulate evaluation rules. The patients who used vinpocetin injection in the hospital were selected for review in three consecutive phases. After feedback, communication, consensus, publicity and so on, the differences in the rational use of vinpocetine injection between the three phases were compared to evaluate the effect of special reviews. RESULTS After continuous interventions, the irrational rate of the use of vinpocetine injection in the whole hospital decreased from 39.80% to 13.30%(P<0.05). The rationality has been greatly improved, especially in the department with higher irrational rate in the first phase. CONCLUSION PDCA cycle significantly improve the rationality of the use of vinpocetine injection. It can be promoted in other drug usage management.