降低病房針劑藥品未退金額比率

Decreasing the Ward Injection Medication Withdrawal Amount Ratio

運用品管圈的問題解決型品質改善手法降低病房針劑藥品未退金額比率，建置電腦管控措施，減少針劑藥品浪費和節省醫療成本。研究期間為2014年1月至2014年9月，針對未依住院退藥日報表退回藥局針劑藥品事件進行改善。在2014年4月改善措施介入後，應依住院退藥日報表退回藥局針劑藥品金額而未退的比率由2014 Q1的7.5%下降至2014 Q3的1.2%，改善幅度高達84.0%。此外，針對執行品管圈問題解決型品質改善手法的熟悉度，圈員進行前後的分數評量，其平均分數由改善前的3.0分明顯上升至改善後的8.7分。從我們的研究得知，運用品管圈的問題解決型品質改善手法進行品質改善，能有效的降低病房針劑藥品未退金額比率，減少針劑藥品浪費和節省醫療成本。

Objective: Use problem-solving quality control circle of quality improvement techniques to decrease the ratio of non-retired ward injection drugs,build computer control measures, reduce waste and save on medicine injection medical costs.
Methods: During the study period from January 2014 to September 2014, aretrospective study of QC pharmacists was carried out to ascertain injections at nursing stations which did not return the inpatient pharmacy prescription chart events.
Results: Following intervention in April 2014, the should be hospitalized by drug withdrawal date report returned pharmacy drugs without injection amount refunded ratio decreased from 7.5% in 2014Q1 to 2014Q3 1.2%, an improvement of up to 84.0%. In addition, the implementation of problem-solving techniques to improve the quality of familiarity around the mean score improved by 3.0 points to 8.7 points.
Conclusions: Use of problem-solving techniques for quality improvement effectively reduced the amount of non-retired ward injection drugs rate,reducing the waste of injection drugs and lowering health care costs.