Impact of Implementing the Lean Management on Internal Errors at an Outpatient Hospital Pharmacy in China.

IF 2 3区医学 Q2 MEDICINE, GENERAL & INTERNAL Patient preference and adherence Pub Date : 2025-01-20 eCollection Date: 2025-01-01 DOI:10.2147/PPA.S486478

Lisong Lv, Yi Yao, Mingwan Zhang, Chuanwei Xin

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Abstract

Purpose: The purpose of this study was to explore the lean management strategies used by an outpatient hospital pharmacy in China to reduce internal errors in prescription dispense and to describe their impact on patient satisfaction.

Methods: The type and number of internal errors in prescription dispense from January 1, 2022, to December 31, 2022, were collected. The causes of these errors were analyzed based on a series of lean management concepts and methods, and Lean Management was implemented from January 1, 2023, to December 31, 2023, in this outpatient hospital pharmacy. The number of internal errors, the proportion of dispense errors and the change of patient satisfaction before and after Lean Management were compared.

Results: Before the implementation of Lean Management, 2978 cases of internal errors were reported. It includes 1286cases (43.18%) of delivering wrong numbers, 612cases (20.55%) of medication in close proximity, 434cases (14.57%) of forget to dispense medication, 221cases (7.42%) of sound-alike medication, 203 cases (6.82%) of multiple sizes of a medication, 125 cases (4.20%) of look-alike medication, and 97 cases (3.26%) of others. The proportion of dispense errors was 3.46‰. After the implementation of Lean Management, the total number of internal errors in prescription dispense decreased to 219 cases, the proportion of internal errors in prescription dispense decreased to 0.27‰, which has a significant difference, and the satisfaction of patients increased from 52.94% to 72.97%.

Conclusion: The implementation of Lean Management can be an efficient approach to reduce the internal errors in prescription dispense.

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实施精益管理对中国某门诊医院药房内部差错的影响

目的：本研究的目的是探讨中国一家门诊医院药房采用精益管理策略来减少处方分配中的内部错误，并描述其对患者满意度的影响。方法：收集2022年1月1日至2022年12月31日处方配药过程中出现的内部错误类型及次数。根据一系列精益管理理念和方法分析这些错误产生的原因，并于2023年1月1日至2023年12月31日在该门诊医院药房实施精益管理。比较精益管理前后的内部差错数量、配药差错比例及患者满意度的变化。结果：实施精益管理前，共报告内部差错2978例。其中送药号码错误1286例（43.18%），近距离送药612例（20.55%），忘记配药434例（14.57%），药音相似221例（7.42%），一种药的多种尺寸203例（6.82%），相似药125例（4.20%），其他97例（3.26%）。配药差错比例为3.46‰。实施精益管理后，处方配药内部差错总数减少到219例，处方配药内部差错比例下降到0.27‰，差异有统计学意义，患者满意度从52.94%提高到72.97%。结论：实施精益管理是减少处方调配内部差错的有效途径。

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来源期刊

Patient preference and adherence MEDICINE, GENERAL & INTERNAL-

CiteScore

3.60

自引率

4.50%

发文量

354

审稿时长

6-12 weeks

期刊介绍： Patient Preference and Adherence is an international, peer reviewed, open access journal that focuses on the growing importance of patient preference and adherence throughout the therapeutic continuum. The journal is characterized by the rapid reporting of reviews, original research, modeling and clinical studies across all therapeutic areas. Patient satisfaction, acceptability, quality of life, compliance, persistence and their role in developing new therapeutic modalities and compounds to optimize clinical outcomes for existing disease states are major areas of interest for the journal. As of 1st April 2019, Patient Preference and Adherence will no longer consider meta-analyses for publication.