6S管理在住院药房管理中的应用及对工作效率的影响
Application of 6S Management in Hospital Pharmacy Management and Its Influence on Work Efficiency

目的：探究6S管理在住院药房管理中的应用效果。方法：收集6S管理实行前(2017年1月~2017年12月)与实行后(2018年1月~2018年12月)相关资料，比较实行前后工作效率、药品调剂差错、药品报损情况及病区满意度。结果：6S管理实行后，员工单方调剂时间、取药等候时间、药品盘点时间均显著低于实行前，而人均日调剂量显著高于实行前(P < 0.05)；药品调剂各类型差错情况及总差错率均显著低于实行前(P < 0.05)；失效药品种类、滞销药品报损金额均显著低于实行前，而账物相符率显著高于实行前(P < 0.05)；病区对住院药房服务环境、服务流程、服务态度、调配差错、等候时间各维度满意度均显著高于实行前(P < 0.05)。结论：6S管理能提高住院药房员工工作效率，减少药品调剂差错及药品损耗，提高病区满意度。
Objective: To explore the application effects of 6S management in hospital pharmacy management. Methods: The relevant data were collected before implementation of 6S management (January 2017-December 2017) and after implementation (January 2018-December 2018). The work efficiency, drug dispensing errors, drug breakage and ward satisfaction were compared before and after implementation. Results: After implementation of 6S management, the unilateral dispensing time of staff, drug waiting time and drug checking time were significantly lower than those before implementation, while daily dispensing dose was significantly higher (P < 0.05). The errors and total error rate of all types of drug dispensing were significantly lower than those before implementation (P < 0.05). The types of invalid drugs and the amount of unsalable drugs were significantly lower than those before implementation, while accounting compliance rate was significantly higher (P < 0.05). The satisfaction scores of dimensions of ward’ s service environment, service process, service attitude, dispensing error and waiting time were significantly higher than those before implementation (P < 0.05). Conclusion: 6S management can improve the work efficiency of hospital pharmacy staff, reduce drug dispensing errors and drug breakage, and improve ward satisfaction.