中国药事2015年2月第29卷第2期204摘要目的：分析品管圈在提高药师不合理处方审出率的作用和效果,以提高药师对用药不合理处方的审出率，保障患者用药安全。方法：按照品管圈(QCC)的10个步骤，选定主题，拟定计划，把握现状，设定活动目标，目标解析，拟定对策，实施与检讨对策，效果确认，检讨和改进，调查药师对用药不合理处方的审核现状，查找影响药师正确审方的主要原因，并进行干预。对干预前后的数据进行比较分析。结果：通过6个月的实践，药师对用药不合理处方的审出率由活动前的50.52%升高到活动后的79.23%，差异具有显著性意义。结论：应用品管圈管理法，可提高药师对用药不合理处方的审出率，值得推广。关键词：品管圈；处方审核；不合理用药检查；中图分类号：R95文献标识码：A文章编号：1002-7777(2015)02-0204-05ExperienceofQCCPracticeinImprovingtheDetectedRateofUnreasonableDrugPrescriptionYueChunwen,WangRongmei,LiuXin,WeiGuo(TheSecondHospitalofShandongUniversity,Jinan250033,China)AbstractObjective:Toanalyzetheeffectsandfunctionsofthequalitycontrolcircle(QCC)inimprovingthedetectedrateofunreasonabledrugprescriptionbypharmacistssoastoimprovethedetectedrateandguaranteethemedicationsafetyofpatients.Methods:AccordingtothetenstepsofQCC,includingpickinguptopics,makingplan,understandingcurrentconditions,settingactivitygoals,parsingtargets,developingcounterplans,implementingandreviewingschedules,confirmingeffectiveness,reviewingandimprovingcurrentconditionsofpharmacists’examinationonprescriptionswithunreasonablemedicationwereinvestigated,andthemainfactorsthataffectedthepharmacistsonprescribingweredetectedandintervened.Databeforeandafterinterventionwerecompared.Results:During6monthsofpractice,thedetectedrateofunreasonableprescriptionbypharmacistsincreasedfrom50.52%beforethisinvestigationto79.23%afterthisinvestigation,withsignificantdifferences.Conclusion:ByapplyingQCCsupervisingmethod,thedetectedrateofunreasonableprescriptionsbypharmacistscanincrease,theQCCmanagementsystemisworthyofwidepromotion.Keywords:QCC;prescriptioncheck;detectiononunreasonabledruguse基金项目：2014年度山东省医务职工科技创新计划项目（编号鲁医工字[20...
