基于PDCA的规范化管理在优化麻精药品管理中的应用效果研究
Study on the application effect of standardized management based on PDCA in optimizing the management of narcotic drugs
来源期刊：
广州医药
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发布时间：
收稿时间：2026/6/18 8:34:37
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- 关键词：
- PDCA循环；规范化管理；麻精药品；管理质量；临床用药
- PDCA cycle; standardized management; narcotic drugs; management quality; clinical medication
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探索 PDCA循环模式应用于麻精药品规范化管理的效果。方法：选取2023年6月至2025年7月该院所辖各科室 100例麻精药品管理全过程作为研究样本，随机分为实施 PDCA前（50例）与实施 PDCA后（50例），以 PDCA循环法对该类药物从购进到使用各个环节进行标准化管理，比较两组管理前后相关质控指标的变化情况。结果：实施后，我院麻精药品管理质量显著提升：库存周转率由 2.15次/月提升至 3.52次/月，提高63.72%；处方合格率由 87.50% 提升至?96.80%；空安瓿批号准确率由 84.30% 提升至?98.50%。同时，处方质量评分从73.41±7.85 升至 96.93±1.62分P<0.001；审核规范性得分从20.16±3.97分增长到25.85±3.18分（P=0.001）；登记完整性和及时性得分分别从22.33±4.15分和20.15±4.21分增加到26.87±3.38分和23.85±3.62分P<0.001；用药合理性得分从19.25±4.13分增至22.07±3.34分P=0.003。此外，处方医师知晓WHO治疗方案的比例增加。 医务人员对麻精药品专业知识掌握程度大幅提升，总体得分由74.00±3.43分涨至92.60±2.58分P<0.001，其中WHO治疗方案知识掌握度增加幅度最大，达78.7%（P=0.001）。结论：PDCA循环管理模式可有效地促进麻精药品管理工作的开展，最大限度地保障患者的安全并简化操作程序，并且能够使医护人员的知识水平以及专业素养得到有效提升，为医疗卫生机构麻精药品的规范化管理工作提供切实可行的方法。
To explore the effectiveness of applying the PDCA cycle model in standardized management of anesthetic and psychotropic drugs. Method: A total of 100 cases from all departments under the hospital's jurisdiction were selected as research samples covering the entire process of psychotropic and anesthetic drug management from June 2023 to July 2025. These cases were randomly divided into two groups: 50 before implementing the PDCA cycle (pre-implementation) and 50 after implementation. The PDCA cycle method was applied to standardize drug management from procurement to usage, with comparative analysis of quality control indicators before and after implementation. Results:Following the implementation, our hospital's quality management of anesthetic and psychotropic drugs has shown significant improvements: Inventory turnover rate increased from 2.15 times/month to 3.52 times/month, representing a 63.72% improvement; prescription qualification rate rose from 87.50% to 96.80%; accuracy rate of empty ampoule batch numbers improved from 84.30% to 98.50%. Concurrently, prescription quality scores jumped from 73.41±7.85 to 96.93±1.62 points (P<0.001); audit standardization scores grew from 20.16±3.97 to 25.85±3.18 points (P=0.001); registration completeness and timeliness scores increased from 22.33±4.15 and 20.15±4.21 points respectively to 26.87±3.38 and 23.85±3.62 points (P<0.001); medication rationality scores rose from 19.25±4.13 to 22.07±3.34 points (P=0.003). Additionally, the proportion of prescribing physicians familiar with WHO treatment protocols saw notable growth. Medical staff's expertise in anesthetic and psychotropic drug knowledge improved substantially, with overall scores rising from 74.00±3.43 to 92.60±2.58 points (P<0.001), particularly marked by a 78.7% increase in WHO protocol knowledge mastery (P=0.001).Conclusion: The PDCA cycle management mode can effectively promote the development of narcotic drug management, maximize the safety of patients and simplify the operation procedures, and can effectively improve the knowledge level and professional quality of medical staff, providing a feasible method for the standardized management of narcotic drugs in medical and health institutions.
