(46.4%) 4.2 (24.5%) 2.4 (14.3%) 85.2% () imatinib 100 mg/ tab quetiapine XR 200 mg/tab mirtazapine 30 mg/tab 166 sumatriptan 50 mg/tab modafinil 200 m

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1 公以品專案改善門診調劑調撥品成功大附設醫院劑部師徐宛琳葉鳳英李珮張鳳梅張慧真摘要 (QCC Quality Control Circle) % quality control circle dispensing practice drug requisition 壹前言貳品專案一現狀把握 QC STORY (6 ) THE JOURNAL OF TAIWAN PHARMACY Vol.30 No.2 Jun

practice drug requisition 壹前言 4 3 1 101 3 貳品專案一現狀把握 QC STORY 101.04.

2 (46.4%) 4.2 (24.5%) 2.4 (14.3%) 85.2% () imatinib 100 mg/ tab quetiapine XR 200 mg/tab mirtazapine 30 mg/tab 166 sumatriptan 50 mg/tab modafinil 200 mg/tab lapatinib 250 mg/tab 70 fenofibrate 200 mg/cap flutamide 250 mg/ tab ketotifen 1 mg/tab 60 // 圖一改善前柏拉圖二目標設定 45 (30 15 ) 4 (22.9%) 1.5 (15.9%) 0.5 (11.2%) % 三現狀解析 ( ) () 5 imatimib 6 6 () 2 圖二特性要因分析圖公 302 Jun 雜誌

modafinil 200 mg/tab lapatinib 250 mg/tab 70 fenofibrate 200 mg/cap flutamide 250 mg/ tab ketotifen 1

3 公四對策擬定圖三原因系統分析圖五對策措施與探討 ( 一 ) 改善分不均造成品調撥 HIS 表一對策擬定表 / / ( ) 5 ( ) 3 ( ) 80% ( ) = THE JOURNAL OF TAIWAN PHARMACY Vol.30 No.2 Jun

112 50 62 42 154 70 68 64 202 62 62 58 182 54 58 48 160 74 60 64 198 531 16 ( ) 5

4 3 3 1 ( 二 ) 改善少用品供應不足造成品調撥 ( 三 ) 改善上不及造成品調撥參結果與討論 % 53% 24.3%19.1% QC 圖四改善後柏拉圖圖五改善前後雷達圖公 302 Jun 雜誌

5 公 Quality Control Circle in Optimizing Drug Dispensing of Outpatient Pharmacy Wan-Lin Hsu, Pheng-Ying Yeh, Pei-Ting Lee, Feng-Mei Chang, Hui-Jen Chang Department of Pharmacy, National Cheng Kung University Hospital Abstract Pharmacist has to evaluate the prescription's appropriateness in dispensing practice, and offer adequate medication consultation for patients. Due to high dispensing volume in outpatient department (OPD) in the national tertiary teaching medical center. It is challenging that inadequate drug supply for each dispensing station. This not only increases drug requisitions (17 times/day) for each section in the pharmacy unit, decreases efficiency in dispensing and affecting quality of pharmaceutical services. Quality control circle (QCC) for solving this problem was initiated by OPD pharmacists in March 2012, we discussed the dominant factors and developed reasonable plans to decrease drug requisitions (target: 8.5 times/day). After 9 months of intervention, the achievement rate was 106% (8 times/day). According to this outstanding outcome, we setup a new policy of drug requisition. Additional benefits of the QCC were that pharmacists improved fluency in dispensing, cohering partnership, and enhance communication and coordination capabilities. 參考資料 1. I-Chi Chen,Min-Hsun Christine Kuo: Quality improvement: perspectives on organizational learning from hospital-based quality control circles in Taiwan. Human Resource Development International 2011; 14: 許國敏劉淳儀白淑芬醫療品的深耕活動醫療 THE JOURNAL OF TAIWAN PHARMACY Vol.30 No.2 Jun 界的QCC實務台灣中 2011 鍾朝嵩品圈活動推行與營運台灣先鋒企 2009 國立成功大醫院附設醫院如何降低門診候時間快圈活動報告台南劑部 2009 高子筑張佑好廖重棋等某區域級教醫院之檢驗試劑庫存精進實務研究澄清醫護雜誌

Due to high dispensing volume in outpatient department (OPD) in the national tertiary teaching medical center. It is challenging that inadequate drug supply for each dispensing station.

( ) 4+2 4+1 一藥師考試人數統計 ( 表一 ) 表一最近十年 (90 年至 99 年 ) 藥師國考報名到考及格人數統計表 ( 表一 ) 2 2001 2002 2003-1 2003-2 2004-1 2004-2 2005-1

( ) 4+2 4+1 一藥師考試人數統計 ( 表一 ) 表一最近十年 (90 年至 99 年 ) 藥師國考報名到考及格人數統計表 ( 表一 ) 2 2001 2002 2003-1 2003-2 2004-1 2004-2 2005-1 綜合評論 Commentary 臺灣藥學教育與藥師考試之改造林藥師藥局藥師林振順 ( 整理 ) 考試委員胡幼圃 ( 口述 ) 壹前言 2003 pharm.d. 2006 2008 2003 2005 2011 8 ( ) PGY 貳藥師考試 640 ( 15 ) 4+1+1 ( ) ( ) 8 THE JOURNAL