基于根因分析与PDCA循环法提升门诊药房药品追溯码扫码效果的应用研究OA

AIM To investigate the application effect of the PDCA cycle combined with root cause analysis(RCA)in improving the scanning rate,accuracy,and dispensing speed of drug traceability codes in outpatient pharmacies.METHODS A three-stage study was conducted in the outpatient pharmacy of our hospital from May to July 2025:baseline survey(May),intervention implementation(June),and effect evaluation(July).The Swiss cheese model was used for root cause analysis,and PDCA cycle management was implemented to address vulnerabilities in the traceability code scanning process,including optimizing equipment configuration,reengineering the workflow,and strengthening training and assessment.RESULTS Following the implementation of advanced drug traceability systems,the scanning rate of drug traceability codes surged from 21.2％to 99.6％(P＜0.05).Additionally,the accuracy of these scans improved from 73.5％to 99.8％(P＜0.05).The waiting time for drug collection also saw a reduction,from 742.75 seconds to 679.33 seconds.CONCLUSION PDCA cycle,combined with root cause analysis,can effectively improve the scanning rate and accuracy of drug traceability codes,speed up drug dispensing,and provide a scientific path for the refined management of outpatient pharmacies.