ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-04-046 检验与方法 2026, 2(04): 181-184

采用六西格玛管理实现医院外配处方动态管理

浙江大学医学院附属第四医院,国际医学院,国际健康医学研究院

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摘要

目的 分析六西格玛管理法在医院外配处方动态管理中的应用效果。方法 运用六西格玛DMAIC[定义(D)、测量(M)、分析(A)、改进(I)、控制(C)]流程对外配药品目录、外配药品流程和处方点评实施改进,并评价改进效果。结果 六西格玛管理改进后,形成了规范化的外配药用药流程,外配处方点评量增加16%,处方点评合格率提升至90%,外配药物累计投诉下降50%。结论 运用六西格玛管理改进外配处方动态管理流程,可提升外配处方合理率,保障外配药品使用的安全性和有效性,提高患者满意度,一定程度上可减少医患纠纷。

Abstract

Objective To analyze the application effects of Six Sigma management in the dynamic management of hospital outpatient prescriptions. Methods The DMAIC [Define(D), Measure(M), Analyze(A), Improve(I), Control(C)] process of Six Sigma was applied to improve the external prescription drug list, the external prescription drug process, prescription review, and the improvement effects were evaluated. Results After the improvement with Six Sigma management, a standardized external prescription medication process was formed, the number of external prescription reviews increased by 16%, the pass rate of reviews increased to 90%, and the cumulative complaints about external prescription drugs decreased by 50%. Conclusion Applying Six Sigma management to improve the dynamic management process of external prescriptions can enhance the rationality of external prescriptions, ensure the safety and effectiveness of external prescription drug use, improve patient satisfaction, and to some extent, reduce doctor-patient disputes.

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[1]傅姝婷,金薇,宋朱谨,等.采用六西格玛管理实现医院外配处方动态管理[J].疾病预防与控制,2026,2(04):181-184.