《中国卫生质量管理》[ISSN:1006-7515/CN:CN 61-1283/R]
卷:
第25卷
期数:
2018年02期
页码:
46-48
栏目:
医疗质量
出版日期:
2018-03-28
- 作者:
-
杨中良 李铁军 徐意涵 晏马成 刘卫东 郭安 刘诗强 杨秀云
-
上海市浦东新区浦南医院
- 关键词:
-
六西格玛; 门诊药房; 发药; 取药; Meta分析
- Keywords:
-
Six Sigma; Outpatient Pharmacy; Dispensing; Picking up Medication; Meta-Analysis
- DOI:
-
10.13912/j.cnki.chqm.2018.25.2.15
- 摘要:
-
目的评价六西格玛应用于降低门诊药房发药错误率和缩短取药等待时间方面的作用。方法通过计算机检索PubMed、Embase、Cochrane Library、WanFang及CNKI 数据库，同时手工检索相关专业杂志并追溯纳入文献的参考文献，检索时限均为建库至2017年4月，采用RevMan 5.3软件进行Meta分析。结果共纳入10篇观察性研究，共计1 890 536例处方，纳入研究平均NOS得分为6.8分。Meta分析显示，六西格玛组发药错误率显著低于基线组，取药等待时间短于基线组，发药Sigma值高于基线组。结论应用六西格玛可显著降低门诊药房发药错误率，缩短取药等待时间。但由于纳入研究质量有限，本研究结论尚需高质量的随机对照研究进行证实。
- Abstract:
-
ObjectiveTo evaluate the effect of Six Sigma Management on decreasing dispensing error rate and waiting time for patients to pick up medication at outpatient pharmacy.MethodsThe PubMed, Embase, Cochrane Library, WanFang and CNKI were searched electronically from the establishment to April 2017, and other relevant journals and references of the included literatures were also searched manually. The RevMan 5.3 was used for Meta-analysis.ResultsA total of 10 observational studies were included with 1 890 536 prescriptions. The average NOS score of the included studies was 6.8 points. The results of meta-analysis showed that the dispensing error rate in Six Sigma group was significantly lower than that in baseline group, and waiting time for picking up medication was significantly shorter than that in the baseline group. The Sigma level of dispensing medication in Six Sigma groupwas higher than that in baseline group.Conclusion Six Sigma management could significantly decrease dispensing error rate and shorten waiting time for patients to pick up medication at outpatient pharmacy. Due to quality limitation of included literatures, the conclusion still needs to be proven by higher quality RCTs．
参考文献/References:
［1］计虹. 医院门诊流程现状分析与优化对策［J］.中国医院, 2010, 14(7):69-72.
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[2]陈琳 吴燕 种朝阳 梁少丽 李亚军.提高门诊药房交班及盘点工作效率[J].中国卫生质量管理,2017,24(05):9.[doi:10.13912/j.cnki.chqm.2017.24.5.04]
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[5]谢小娟 李小侠 孙晶晶 魏力强.应用六西格玛评价陕西省临床检验质量[J].中国卫生质量管理,2019,26(04):56.[doi:10.13912/j.cnki.chqm.2019.26.4.16]
更新日期/Last Update:
2018-03-28
