目的：探讨PDCA循环管理方法在持续改进医院处方质量中的应用效果。方法通过计划、实施、检查、制订巩固措施、总结和下一步打算(介于两循环之间)等5个阶段对本院2011年1月~2013年12月的门诊处方进行持续性监控及改进。结果2011~2013年本院的处方合格率由68.9%上升到98.5%，门诊抗菌药物使用率由58%下降到24%。结论 PDCA循环法有效解决以往工作中制度与落实脱节、执行与监督脱节，形成了一套完整的、循环往复的质量监控体系，其在本院持续改进处方质量中的成功经验也为PDCA循环在本院其他质量管理中的应用提供了借鉴。%Objective To study the application effect of Plan-do-check-action (PDCA) cycle management approach on continuously improving the quality of hospital prescription. Methods Outpatient prescriptions were continuously moni-tored and improved by the following 5 stages including plan,implementation,check,establishing consolidated measures, and summarization and further plan (between two cycles) from January 2011 to December 2013 in our hospital. Results Prescription qualified rate rose from 68.9% to 98.5% and outpatient antimicrobial usage rate decreased from 58% to 24% in our hospital from 2011 to 2013. Conclusion PDCA cycle method effectively solves the disconnections between system and implementation,execution and supervision in the past work to establish a complete and cycled quality con-trol system.Successful experience of applying PDCA cycle method in continuous improvement of our hospital prescrip-tion quality provides a reference for other quality management in our hospital.
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