Abstract：Objective To explore the effect of PDCA cycle management tool which continuously improves on the adverse drug reaction(ADR)report and surveillance and management of our hospital,the ADR reporting and the monitoring management standardizes,improving the quality of management,promoting the clinical rational administration.Methods Tapplication PDCA the problems existing in ADR surveillance of our hospital are analyzed and the reasons were found out by applying the 4 key steps in the PDCA cycle management(planning,implementation,inspection,and processing), The plan which was aimed at addressing the problem was formulated and implemented.Problems will be discovered during the repeated check process,and the management will be improved and enhanced to achieve the purpose of standardized management.Results After implementing PDCA cycle management,through establishing drug bad reaction monitoring and report work management system,taking effective measures,and implementing ADR report and monitoring, in 2015 the ADR reported total,and medical personnel reported volume,and records electronic medical record number, and reported department had respectively increased 558.0%,33.3%,and 1288.0%,and 200.0%in our hospital,effective intervention（P＜0.05）;the first medication easily occur ADR,the above reported constitute proportion had increased 116.4%,and 320.7%%in 1-3 days and 4-10 days,effective intervention（P＜0.05）;vein and oral medicine still far above other drug way,but lead to ADR proportion had declined 16.3%,effective intervention（P＜0.05）;anti-infection material lead to the ADR proportion had declined 63.6%,effective intervention（P＜0.05）;Chinese medicine injection agent cause that ADR proportion has increased 70.3%,there was no significant difference(P>0.05);the damage of skin and the annex organ was still the most,but cause that ADR proportion had declined 18.7%,there was no significant difference(P> 0.05),and had increased the report of liver,gall and gastrointestinal system and other serious ADR cases.Conclusion PDCA circulation management facilitates the management on ADR monitoring in our hospital.The management quality and level have achieved continuous improvement,promoting the safety and rationality of clinical drug use.
魏玲;代晶;沈冬梅;蔡洁清. 应用PDCA循环促进我院药品不良反应监测上报及效果分析[J]. 中国当代医药, 2016, 23(31): 139-142.
WEI Ling;DAI Jing;SHEN Dong-mei;CAI Jie-qing. The monitoring report and effect analysis on the adverse drug reaction promoted by the application of PDCA circulation in our hospital. 中国当代医药, 2016, 23(31): 139-142.
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