开展药速圈提升门诊高峰期药师调剂效率的实践研究

Objective To improve the dispensing efficiency of outpatient pharmacists in the Pharmacy Department of the Fourth Affiliated Hospital of Zhejiang University School of Medicine(hereinafter referred to as our hospital) during peak hours, our hospital adopted the Plan-Do-Check-Act(PDCA) cycle to identify factors affecting drug dispensing efficiency, and to solve the problems of low drug dispensing efficiency and long waiting time for patients during the outpatient peak hours(9:00-12:00), and improve pharmacy service quality and patient satisfaction. Methods The observation period was from August 2022 to July 2023, and the PDCA implementation period was from August 2023 to July 2024. Pareto test analysis and fishbone diagram target analysis were used to determine the influencing factors. Optimized countermeasures were formulated and implemented focusing on core issues, and changes in key indicators before and after implementation were compared. Results The main influencing factors were identified as unreasonable prescription design, lack and aging of hardware equipment, uneven window allocation, and lack of verification equipment. After implementation, the average number of prescriptions dispensed per manual window per hour during peak hours increased from 111.39 to 135.15, the number of internal errors decreased from 168 to 57, the incidence of internal errors decreased from 2.25‰ to 0.83‰(χ2=45.51, df=1, P<0.001), the patient satisfaction score increased from(8.2±1.1) to(9.1±0.9)(t=8.87, df=386, P<0.001). Conclusion The PDCA cycle can effectively improve the dispensing efficiency of outpatient pharmacists during peak hours, reduce the error rate, improve the pharmacy management system, and has promotion value.