ABSTRACT
OBJECTIVE:To improve dispensing quality of small package of TCM formula granule, reduce the rate of dispensing error and shorten dispensing time. METHODS:Key influential factors for small package of TCM formula granule dispensing in our hospital were found out from 5 respects of"man,machine,environment,method,material";two cycles of PDCA cycle management intervention were conducted. Dispensing internal error and dispensing time were compared before PDCA cycle management intervention (Jul.-Dec. 2015,group A),first cycle of PDCA cycle management intervention (Jan.-Jun. 2016, group B) and second cycle of PDCA cycle management intervention (Jul.-Dec. 2016,group C),the effects of management were evaluated. RESULTS:By improving dispensing environment,establishing dispensing standard operation procedure,formulating reward and punishment system,staff training,after 2 cycles of PDCA cycle management intervention,the rate of small package of TCM formula granule dispensing error in TCM pharmacy of our hospital decreased from 4.19％(170/4061) before intervention that of group A to 1.69％(85/5043) and 0.98％(53/5408) in group B and C after intervention (P<0.05 or P<0.01). Average dispensing time of each prescription with 7 doses were shortened from(9.08±2.56)min before intervention(group A)to(7.37± 1.98),(5.97±1.64)min in group B and C after intervention(P<0.05). CONCLUSIONS:PDCA cycle management intervention in our hospital can reduce the rate of small package of TCM formula granule dispensing error and shorten dispensing time.
ABSTRACT
Small package of Chinese material medicine pieces has been gradually extended in major hospitals in Shanghai .It is a major reform occurred in the history of TCM deployment , which has important significance to improve recipe speed , dose accuracy and recipe environment .However , the implementation of this reform has also brought some new problems , such as pieces identifica-tion, doctor′s prescription, pieces′custody and the environmental impact of packaging materials .In this paper, the current status and future development of Chinese herbal small package in Shanghai were discussed .
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OBJECTIVE: To investigate the shortage of small package of Chinese herbal pieces and to put forward some problems to be settled. METHODS: Some shortages of small package of Chinese herbal pieces were found out, and the improvement suggestion were put forward. RESULTS&CONCLUSION: The development of small package of Chinese herbal pieces requires the effective monitoring of drug regulatory agency.
ABSTRACT
0.05).CONCLUSION:The small-packaged cut crude drugs wrapped with bag-steeping paper can replace the traditional ones.