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Practice and effectiveness of the subject-achieving quality control circle in constructing a multidisciplinary team cooperation model for therapeutic drug monitoring

Published on Jan. 26, 2025Total Views: 155 times Total Downloads: 25 times Download Mobile

Author: LI Yun HANG Yongfu GU Jihong

Affiliation: Department of Pharmacy, The First Affiliated Hospital of Suzhou University, Suzhou 215000, Jiangsu Province, China

Keywords: Subject-achieving quality control circle Therapeutic drug monitoring Multidisciplinary Rational use of medicine

DOI: 10.12173/j.issn.2097-4922.202406113

Reference: LI Yun, HANG Yongfu, GU Jihong. Practice and effectiveness of the subject-achieving quality control circle in constructing a multidisciplinary team cooperation model for therapeutic drug monitoring[J]. Yaoxue QianYan Zazhi, 2025, 29(1): 131-137. DOI: 10.12173/j.issn.2097-4922.202406113.[Article in Chinese]

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Abstract

Objective  Based on the management method of subject-achieving quality control circle, to construct a multidisciplinary team cooperation model for therapeutic drug monitoring (TDM), and to improve the quality of medical services.

Methods  The activity theme of “Construction and Application of TDM Multidisciplinary Team Cooperation Model” was determined. Following the basic steps of subject-achieving quality control circle, the results before and after the activity were evaluated.

Results  After the implementation of the activity, a multi-disciplinary team cooperation model for TDM was established, service skill training and efficiency improvement strategies were implemented, and an intelligent information exchange platform was built. The activity had achieved significant results, and 8 project targets covering management indicators, capability indicators, information indicators, and efficiency indicators had all been improved, with a target compliance rate of 113.48% and a progress rate of 62.46%. After improvement, the standardization rate of the entire TDM process reached 95%, the clinical satisfaction was 93%, the number of professional pharmacists in reserve increased by 3, the qualified rate of pharmacist assessment was 95%, the qualified rate of TDM service quality control was 92%, the patient satisfaction was 95%, the information exchange accuracy was 95%, and the information exchange timeliness was 100%. After the quality control circle activity, team members had significantly improved in the use of quality control circle techniques, teamwork, sense of responsibility, self-confidence, and other aspects.

Conclusion  The application of subject-achieving quality control circle in hospital TDM management has successfully established a multidisciplinary team cooperation model, which has improved management indicators and the comprehensive quality of staff.

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References

1.中国药理学会治疗药物监测研究专业委员会. 治疗药物监测工作规范专家共识(2019版)[J]. 中国医院用药评价与分析, 2019, 19(8): 897-902. DOI: 10.14009/j.issn.1672-2124.2019.08.001.

2.Choi R, Woo HI, Park HD, et al. A nationwide utilization survey of therapeutic drug monitoring for five antibiotics in South Korea[J]. Infect Drug Resist, 2019, 12: 2163-2173. DOI: 10.2147/IDR.S208783.eCollection 2019.

3.Norris RL, Martin JH, Thompson E, et al. Current status of therapeutic drug monitoring in Australia and New Zealand: a need for improved assay evaluation, best practice guidelines, and professional development[J]. Ther Drug Monit, 2010, 32(5): 615-623. DOI: 10.1097/FTD.0b013e3181ea3e8a.

4.李沭, 张倩, 张爽, 等. 2018年中国医院治疗药物监测开展状况调查[J].中国药学杂志, 2019, 54(24): 2087-2092. [Li S, Zhang Q, Zhang S, et al. Survey on the status of therapeutic drug monitoring in Chinese hospitals in 2018[J]. Chinese Pharmaceutical Journal, 2019, 54(24): 2087-2092.] DOI: 10.11669/cpj.2019.24.015.

5.张彦, 谢诚, 杭永付, 等. 奈玛特韦/利托那韦治疗下肾移植受者他克莫司谷浓度个体内变异度及其对血清肌酐的影响[J]. 器官移植, 2023, 14(4): 547-552. [Zhang Y, Xie C, Hang YF, et al. Intrapatient variability of tacrolimus trough concentrations and its effect on serum creatinine level in kidney transplant recipients treated with nematvir/ritonavir[J]. Organ Transplantation, 2023, 14(4): 547-552.] DOI: 10.3969/j.issn.1674-7445.2023.04.011.

6.Danan G, Benichou C. Causality assessment of adverse reactions to drugs I. A novel method based on the conclusions of international consensus meetings: application to drug induced liver injuries[J]. J Clin Epidemiol, 1993, 46(11): 1323-1330. DOI: 10.1016/0895-4356(93)90101-6.

7.余松轩, 赵蓉, 李贤华, 等. 上海市医院多学科诊疗模式标准研制与思考[J]. 中国卫生质量管理, 2021, 28(12): 14-17. [Yu SX, Zhao R, Li XH, et al. Development and consideration of multi-disciplinary treatment mode standard in hospitals in Shanghai[J]. Chinese Health Quality Management, 2021, 28(12): 14-17.] DOI: 10.13912/j.cnki.chqm.2021.28.12.05.

8.平耀东, 王楠, 张文思, 等. 不同类型品管圈在医院药事管理中的应用效果分析与体会[J]. 中国现代应用药学, 2019, 36(5): 613-616. [Ping YD, Wang N, Zhang WS, et al. Experience and application effects analysis of different types of quality control circle in hospital pharmacy management[J]. Chinese Journal of Modern Drug Application, 2019, 36(5): 613-616.] DOI: 10.13748/j.cnki.issn1007-7693.2019.05.021.

9.陈伟. 开展品管圈活动在提高临床护理带教质量中的应用价值研究[J]. 当代医药论丛,2020, 18(2): 251-252. [Chen W. Research on the application value of conducting quality control circle activities in improving the quality of clinical nursing education[J]. Contemporary Medical Symposium, 2020, 18(2): 251-252.] DOI: CNKI:SUN:QYWA.0.2020-02-187.

10.吴轶, 叶岩荣, 沈赟, 等. 课题研究型品管圈在建立信息化闭环药学服务体系中的应用[J]. 上海医药, 2019, 40(23): 87-90. [Wu Y, Ye YR, Shen Y, et al. Application of research oriented quality control circle in the establishment of closed loop pharmaceutical care system[J]. Shanghai Medical & Pharmaceutical Journal, 2019, 40(23): 87-90.] DOI: 10.3969/j.issn.1006-1533.2019.23.029.

11.黄蕾, 许金秋, 唐志刚. 品管圈活动在缩短药物浓度监测报告送达时间中的应用[J]. 中国卫生产业, 2021, 18(19): 10-14. [Huang L, Xu JQ, Tang ZG. Application of quality control circle activities in shortening the delivery time of drug concentration monitoring reports[J]. China Health Industry, 2021, 18(19): 10-14.] DOI: 10.16659/j.cnki.1672-5654.2021.19.010.

12.赵嫄, 王皓, 周俊, 等. 品管圈在降低异烟肼血药浓度监测结果异常低值发生率中的应用[J]. 药学服务与研究, 2020, 20(2): 132-136. [Zhao Y, Wang H, Zhou J, et al. Application of quality control circle in reducing the rate of abnormal low values of isoniazid in blood concentration monitoring[J]. Pharmaceutic Care and Research, 2020, 20(2): 132-136.] DOI: 10.5428/pcar20200212.

13.刘剑敏, 黄鹤归, 林奕凯, 等. 医药护一体化监管模式对我院TDM全过程实施的影响[J].中国药房, 2021, 32(5): 619-623. [Liu JM, Huang HG, Lin YK, et al. Effects of integrated supervision mode by doctors, pharmacists and nurses on the whole-process implementation of TDM in our hospital[J]. China Pharmacy, 2021, 32(5): 619-623.] DOI: 10.6039/j.issn.1001-0408.2021.05.19.

14.李欢, 罗云婷, 邓蓉, 等. 医药护一体化药物监管模式在伏立康唑治疗中的应用[J]. 护理学杂志, 2019, 34(17): 98-100. [Li H, Luo YT, Deng R, et al. Application of the integrated drug monitoring model by physicians and nurses and pharmacists[J]. Journal of Nursing Science, 2019, 34(17): 98-100.] DOI: 10.3870/j.issn.1001-4152.2019.17.098.

15.刘冬华, 刘冬玲, 宋晓莉, 等. 基于课题达成型品管圈的围手术期多学科疼痛管理模式的构建及应用[J]. 中华现代护理杂志, 2023, 29(26): 3588-3593. [Liu DH, Liu DL, Song XL, et al. Construction and effect of a multidisciplinary pain management model during perioperative period based on project-achieving quality control circle[J]. Chinese Journal of Modern Nursing, 2023, 29(26): 3588-3593.] DOI: 10.3760/cma.j.cn115682-20230202-00321.

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