| 徐贞贞,田京辉,张慧丽,汪荧辉,王清清,赵亮.应用失效模式与效应分析法提高药房盘点质量探索[J].中国药事,2024,38(2):229-236 |
| 应用失效模式与效应分析法提高药房盘点质量探索 |
| To Explore a New Mode of Drug Inventory in Modern Pharmacy by Using Failure Mode and Eff ect Analysis Method |
| 投稿时间：2023-06-29 |
| DOI：10.16153/j.1002-7777.2024.02.015 |
| 中文关键词: 失效模式与效应分析 现代化药房 药品盘点 低代码平台 |
| 英文关键词: failure mode and eff ect analysis modern pharmacy drug inventory low-code platform |
| 基金项目:许昌市重点研发与推广专项（编号 20220213037） ；许昌市重点研发与推广专项（编号 20230213068） |
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| 中文摘要: |
| 目的：优化现代化门诊药房药品盘点过程以提升盘点质量。方法：通过文献检索、头脑风暴等方法绘制药品盘点流程图并收集每个子流程的潜在失效模式及失效原因，应用失效模式与效应分析法 （Failure Mode and Effect Analysis，FMEA）对各失效模式发生的可能性、严重性和可侦测度进行评分及风险优先值（RPN）计算，量化并确定高风险失效模式，制定改进措施并实施，分析改善效果。结果： 确定了盘点的3个主流程和12个子流程，以及各子流程相关的21项失效模式和38项失效原因，高风险因素共15项，制定针对性改进措施28项。干预改进后，各高风险失效模式RPN值均显著降低，其中最高的 4项由392、288、280、280分别降至42、48、56、63，均处于相对低风险区域；干预管理前后复盘相符率由82.4%上涨至96.2%，盘存时长由180.2 min降至155.3 min。结论：FMEA法在药品盘点过程存在问题分析改进中的价值是肯定的，制定的各项改进措施，尤其是针对现代化药房自动化设备盘存模块的相关措施，以及低代码平台在智能化盘点中的应用等对于盘点质量的提升作用非常显著，值得借鉴并推广运用来提升药品经济和质量管理。 |
| 英文摘要: |
| Objective: To optimize the drug inventory process of modern outpatient pharmacy to improve the quality of inventory. Methods: The fl ow chart of drug inventory was drawn by literature search, brainstorming and other methods, and the potential failure modes and failure causes of each sub-process were collected. The Failure Mode and Eff ect Analysis (FMEA) method was used to score the possibility, severity and detection of each failure mode and calculate the Risk Priority Number (RPN). The high-risk failure mode was quantified and determined, and the improvement measures were formulated and implemented to analyze the improvement effect. Results: Three main processes and 12 sub-processes of the inventory were determined, as well as 21 failure modes and 38 failure causes related to each sub-process,15 high-risk factors and 28 targeted improvement measures were formulated. After the intervention improvement, the RPN of each high-risk failure mode decreased signifi cantly, and the highest four items decreased from 392, 288, 280 and 280 to 42, 48, 56 and 63, respectively, all of which were in the relatively low-risk area. Before and after the intervention management, the conformity rate increased from 82.4% to 96.2%, and the inventory time decreased from 180.2 min to 155.3 min. Conclusion: The value of FMEA method in the analysis and improvement of problems in the process of drug inventory is positive. The improvement measures are developed, especially the relevant measures for the inventory module of modern pharmacy automation equipment, and the application of low-code platform in intelligent inventory, have a very signifi cant eff ect on the improvement of inventory quality. It is worth learning and promoting and applying to improve drug economy and quality management. |
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