Objective  To discuss on the application of innovative quality control circle in optimizing pharmaceutical care, design pharmaceutical care model according to needs, and improve the quality of pharmaceutical care.

Methods  Using 10 steps of innovative quality control circle, the quality function development (QFD) was carried out by multidimensional quality tools, and the demand for pharmaceutical services was analyzed in the form of “House of Quality”. Combined with PDCA cycle management tool, the situation of pharmaceutical services before and after improvement was analyzed and evaluated.

Results  After the implementation of the activities, many contents hd been improved, such as the dispensing time for outpatient pharmacy patients decreased from 16 min to 8 min, the finished product infusion configuration time in pharmacy intravenous admixture services decreased from 15 min to 7 min, the surgery pharmacy special management drug report automatically generated number increased from 2 copies to 6 copies, the daily order review time for each department of pharmacy decreased from 80 min to 20 min, the perfection rate of pharmaceutical care digital module increased from 65.23% to 80.34%, and the multidimensional quality tool adoption rate increased from 60.00% to 93.00%. In addition, a number of additional benefits and intangible results were obtained.

Conclusion  Adopting the management mode of QFD combined with PDCA cycle can effectively reconstruct the management mode of pharmaceutical care, and effectively promote the scientific and fine management of pharmaceutical care.

1.袁雨婷, 宋佳妮, 丁紫怡, 等. “互联网+药学服务”的研究现况[J]. 临床合理用药, 2023, 16(8): 178-181. DOI: 10.15887/j.cnki.13-1389/r.2023.08.052.

2.黄瑞赠. 我国医院药学服务发展研究[J]. 基层医学论坛, 2023, 27(4): 124-126, 150. DOI: 10.19435/j.1672-1721.2023.04.040.

3.程丽丹, 江一唱, 王天棋, 等. 心力衰竭患者全程化药学服务模式的建立与效果评估[J]. 中国药师, 2022, 25(2): 309-314. [Chen LD, Jiang YC, Wang TQ, et al.Establishment and effect evaluation of whole-process pharmaceutical care model for patients with heart failure[J]. China Pharmacist, 2022, 25(2): 309-314.] DOI: 10.19962/j.cnki.issn1008-049X.2022.02.020.

4.辜明, 华小黎, 陈骏, 等. 江汉方舱医院药事管理与药学服务实践[J]. 中国药师, 2020, 23(4): 702-706. [Gu M, Hua XL, Chen J, et al. Practice of pharmacy administration and pharmaceutical care in Jianghan module hopital[J]. China Pharmacist, 2020, 23(4): 702-706.] DOI: 10.3969/j.issn.1008-049X.2020.04.023.

5.陈梁芳, 李钧慧, 肖瑶等. 基于AHP-DEMATEL和QFD的发热门诊智慧药事服务模式再造研究[J].中国现代应用药学, 2022, 39(6): 815-821. [Chen LF, Li JH, Xiao Y, et al. Study on reconstruction of fever outpatient intelligent medicine service pattern based on AHP-DEMATEL and QFD[J]. Chinese Journal of Modern Applied Pharmacy, 2022, 39(6): 815-821.] DOI: 10.13748/j.cnki.issn1007-7693.2022.06.018.

6.李哲青,陈一贤,周邮,等. 数字孪生技术及其在医疗领域的应用[J]. 中国数字医学, 2023, 18(8): 56-61. [Li ZQ, Chen YX, Zhou Y, et al. Review of digital twin applications in medical care[J]. China Digital Medicine, 2023, 18(8): 56-61.] DOI: 10.3969/j.issn.1673-7571.2023.08.010.

7.王桢絮, 张波, 顾莺, 等. 数字孪生技术在医疗领域的应用进展[J]. 中国医疗器械信息, 2023, 29(9): 77-81. [Wang ZX, Zhang B, Gu Y, et al. Advance of digital twin technology in medical field[J]. China Medical Device Information, 2023, 29(9): 77-81.] DOI: 10.3969/j.issn.1006-6586.2023.09.021.

8.陈玉倩, 侯晓慧, 朱碧帆, 等. 数字孪生在精准医疗应用中的研究进展和挑战[J]. 海军军医大学学报, 2023, 44(1): 97-101.[Chen YQ, Hou XH, Zhu BF, et al. Digital twin in precision medicine application: research progress and challenges[J]. Academic Journal of Naval Medical University, 2023, 44(1): 97-101.] DOI: 10.16781/j.CN31-2187/R.20220583.

9.赵霞, 曹晓均, 李小华. 医学数字孪生应用研究与关键技术探析[J]. 医学信息学杂志, 2023, 44(4): 12-16, 27. [Zhao X, Cao XJ, Li XH. Analysis of the application research and key technology of medical digital twin[J].  Journal of medical informatics, 2023, 44(4): 12-16, 27.]DOI: 10.3969/j.issn.1673-6036.2023.04.002.

10.刘岳金, 叶岩荣, 王彩云, 等. 基于QFD优化医院药学服务模式降低感染风险[J]. 中国现代应用药学, 2023, 40(2): 263-268. [Liu YJ, Ye YR, Wang CY, et al. Optimizing hospital pharmacy service model based on QFD to reduce the risk of infection[J]. Chinese Journal of Modern Applied Pharmacy, 2023, 40(2): 263-268.] DOI: 10.13748/j.cnki.issn1007-7693.2023.02.018.

11.左海燕, 刘洋, 孙秀芳. 通过开展QFD创新型品管圈提高门诊患者预约就诊效率[J]. 首都食品与医药, 2022, 29(4): 99-101. [Zuo HY, Liu Y, Sun XF. Improve the efficiency of outpatient appointment by carrying out QFD innovative quality control circle[J]. Capital Medicine, 2022, 29(4): 99-101.] DOI: 10.3969/j.issn.1005-8257.2022.04.043.

12.曾繁卓. 医改背景下医院药学发展及工作模式变化探讨[J]. 海军医学杂志, 2019, 40(6): 615-617. DOI: 10.3969/j.issn.1009-0754.2019.06.039.

13.周建芳, 孙昌洁. 医院药学服务的发展现状与趋势[J]. 按摩与康复医学, 2021, 12(2): 83-86. DOI: 10.19787/j.issn.1008-1879.2021.02.025.

14.黄其翔, 卢梦情, 徐蔼琳, 等. 江苏省基层医疗卫生机构服务能力及药学服务建设现状的调查与思考[J]. 中国药房, 2019, 30(23): 3287-3292. [Huang QX, Lu MQ, Xu AL, et al. Survey and consideration on the current situation of service ability and pharmaceutical service construction of primary healthcare institutions in Jiangsu province[J]. China Pharmacy, 2019, 30(23): 3287-3292.]DOI: 10.6039/j.issn.1001-0408.2019.23.21.

15.李黎, 朱亚宁, 周楠, 等. 临床药师在急诊抢救室开展药学服务的机遇与挑战[J]. 中国药师, 2020, 23(12): 2440-2442. [Li L, Zhu YN, Zhou N, et al. Opportunities and challenges for clinical pharmacists to provide pharmaceutical services in emergencyrescue room[J]. China Pharmacist, 2020, 23(12): 2440-2442.] DOI: 10.3969/j.issn.1008-049X.2020.12.030.

16.王振兴, 叶陈丽, 邹绮雯, 等. 临床药师对1例建立家庭病床脑梗死后遗症患者的药学服务[J]. 中国药师, 2021, 24(3): 523-527. [Wang ZX, Ye CL, Zhou QW, et al. Pharmaceutical servies of clinical pharmacist of a patient with sequelae of cerebral infarction in establishment of family beds, China Pharmacist, 2021, 24(3): 523-527.]DOI: 10.3969/j.issn.1008-049X.2021.03.023.