目的 探讨品管圈活动（QCC）在降低深圳大学总医院中药饮片处方不合格率的应用效果。方法 成立品管圈活动小组，采用柏拉图、二八法则和鱼骨图等方法，分析深圳大学总医院中药饮片处方不合格的类型、原因，制定相应的对策并实施，比较品管圈活动前后的处方不合格率的变化。结果 中药饮片处方不合格率从品管圈活动实施前8.70%降至实施后3.85%，其中改善重点“特殊煎法未标注”和“用法错误”类型的处方不合格率分别从3.2%降至1.79%和4.4%降至1.44%。结论 QCC活动的开展能够有效地降低中药饮片处方不合格率，完善工作制度，规范工作流程，同时也提高了药师的工作效率和药学服务质量。

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

广东省自然科学基金面上项目（2019A1515010815）；深圳市科技计划项目（JCYJ20190808114807611）