Chinese Journal of Pharmacovigilance ›› 2022, Vol. 19 ›› Issue (9): 1035-1039.
DOI: 10.19803/j.1672-8629.2022.09.22

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Applicability of PDCA cycle in standardization of outpatient prescriptions

LIU Bin, SHAO Meiling, CAI Yiran, MA Fengyi, LAN Hong*   

  1. Department of Pharmacy, Taihe Hospital Affiliated to Hubei University of Medicine, Shiyan Hubei 442000, China
  • Received:2021-02-04 Online:2022-09-15 Published:2022-09-16

Abstract: Objective To explore the applicability of the PDCA cycle in standardizing outpatient prescriptions in our hospital so as to reduce medication errors and drug costs. Methods A total of 2 000 outpatient prescriptions were selected using the random number table method between November 1, 2019 and June 30, 2020 (before intervention). The rate of qualification of outpatient prescriptions and the distribution and proportion of substandard ones were calculated. Based on the results of analysis, the PDCA cycle was adopted for intervention. 1 000 problematic outpatient prescriptions were statistically analyzed between July 1, 2020 and October 31, 2020 (after intervention). Results From November 1, 2019 to June 30, 2020, the rate of qualification of prescriptions averaged 88.8%, which failed to meet the national requirement (over 95%). After the intervention by the PDCA cycle, the rate of qualification of prescriptions not only rose to 95.70% between July 1, 2020 and October 31, 2020, which met the national requirement, but maintained a trend of month-on-month increase, from the lowest (86.27%) before intervention to the highest (96.38%) after the intervention. The achievement rate of tangible goals was 111.29%, and the progress rate was 7.77%. Conclusion The PDCA cycle has a significant effect on the quality of outpatient prescriptions by increasing the rate of qualification, improving the quality of hospital pharmacy services, and ensuring the safety of patients.

Key words: rehabilitation pharmacy, prescription analysis, plan-do-check-action(PDCA), rational drug use

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