目的 探討品管圈活動(dòng)（QCC）在降低深圳大學(xué)總醫(yī)院中藥飲片處方不合格率的應(yīng)用效果。方法 成立品管圈活動(dòng)小組，采用柏拉圖、二八法則和魚(yú)骨圖等方法，分析深圳大學(xué)總醫(yī)院中藥飲片處方不合格的類(lèi)型、原因，制定相應(yīng)的對(duì)策并實(shí)施，比較品管圈活動(dòng)前后的處方不合格率的變化。結(jié)果 中藥飲片處方不合格率從品管圈活動(dòng)實(shí)施前8.70%降至實(shí)施后3.85%，其中改善重點(diǎn)“特殊煎法未標(biāo)注”和“用法錯(cuò)誤”類(lèi)型的處方不合格率分別從3.2%降至1.79%和4.4%降至1.44%。結(jié)論 QCC活動(dòng)的開(kāi)展能夠有效地降低中藥飲片處方不合格率，完善工作制度，規(guī)范工作流程，同時(shí)也提高了藥師的工作效率和藥學(xué)服務(wù)質(zhì)量。

Objective To explore the application effect of quality control circle (QCC) activities in reducing the unqualified rate of Chinese medicine prescriptions in our hospital. Methods The quality control circle activity group was established, and types and reasons of unqualified Chinese medicine prescriptions in our hospital were analyzed using methods such as Plato, the twenty-eight rule and fishbone diagram, then corresponding countermeasures were formulated and implemented. Finally, the unqualified rate of prescriptions was compared before and after the quality control circle activities. Results The unqualified rate of prescriptions of traditional Chinese medicine decreased from 8.70% to 3.85% after the implementation of QCC activities. Among them, the unqualified rate of prescriptions of "special decoction missing" and "incorrect usage" were reduced from 3.2% to 1.79%, 4.4% fell to 1.44%, respectively. Conclusion The development of QCC activities can effectively reduce the unqualified rate of Chinese medicine prescriptions, improve the work system, standardize the work process, and also improve the work efficiency of pharmacists and the quality of pharmaceutical services.

R954

廣東省自然科學(xué)基金面上項(xiàng)目（2019A1515010815）；深圳市科技計(jì)劃項(xiàng)目（JCYJ20190808114807611）