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【答案】应助回帖
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swlhlbr: 金币+5, 翻译EPI+1, ★★★★★最佳答案, thanks 2016-04-15 14:05:09
目的：通过 将门诊 发生的 药品不良反应 计入 门诊 电子病历，保证门诊 所发生 药品不良反应的 可追溯性，在加强 临床 个体化 用药安全的 同时 促进 对上市药品的 安全质量监控，保障 广大患者的 用药安全。方法：成立 品管圈 活动小组，遵循 PDCA程序，活用 品管圈 七大手法，分析 门诊药品 不良反应 难以溯源的 原因，探索 对策，予以 实施并评估 活动效果。 结果：比较 活动前、后 各项 药品不良反应 可 溯源指标 均得到了 明显改善，门诊药品 不良反应 计入 病历率 由改善前31%升 至改善后 90.1%，活动后 门诊退药登记表 确认签名率 达87.2%，活动达标率 为105.6%。结论：本次 品管圈活动 有效的 提高了 门诊药品不良反应 计入病历的 质量，患者 承诺签名 一定程度的 保证了 门诊药品不良反应的 真实性，保证了 门诊药品不 良反应的 可溯源性，为 药品的 临床合理 使用提供了依据。
Purpose: Guarantee the traceability of adverse drug reactions occurred during outpatient treatment by recording them into electronic medical record(EMR), and enhance monitoring the safety and quality of drugs
on current market in the meantime of strengthening individual medication safety, so as to secure the medication safety for massive patients. Method: Establish activity groups of quality control circle, follow PDCA procedures and flexibly use the QC 7 basic tools, analyze the reason why adverse drug reactions can hardly be traced, explore countermeasures, implement activity and evaluate activity effect. Results: Through comparing the traceability indexes of adverse drug reactions before and after the implementation of activity, it shows that the traceability indexes have been improved, and the rate of successfully recording adverse drug reactions into EMR has been increased from 31% before improvement to 90.1% after improvement, in addition, the signature rate on drug withdrawal list after implementation of activity can reach 87.2%, and the rate of reaching the standard in activity reached 105.6%. Conclusion: The QCC activity effectively improved the quality of recording adverse drug reactions into EMR. Patient's commitment to signature on drug withdrawal list guarantees the authenticity and traceability of adverse drug reactions, providing basis for clinical rational drug use.
关键词：药品不良反应，品管圈，溯源
Keywords: Adverse Drug Reaction, Quality Control Circle; Traceability |
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