帕累托图联合鱼骨图分析法在中药饮片质量管理中的应用效果评价*
作者：韦彩柳1，杨志杰1，黄焕迪1，胡丽芳1，刘晓园1，周俊琳1，邱黎明1，张洪平2,3
单位：1.广西柳州工人医院，广西 柳州 545000； 2.广西中医药大学广西中药药效研究重点实验室，广西 南宁 530200； 3.广西中医药大学第三附属医院,广西 柳州 545001
引用：引用：韦彩柳，杨志杰，黄焕迪，胡丽芳，刘晓园，周俊琳，邱黎明，张洪平.帕累托图联合鱼骨图分析法在中药饮片质量管理中的应用效果评价[J].中医药导报,2025,31(9):74-78.
DOI：10.13862/j.cn43-1446/r.2025.09.012
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摘要：目的:探究帕累托图联合鱼骨图分析法在中药饮片质量管理中的应用效果。方法:2024年1—6月，每月定期对本院400种中药饮片进行质量抽查，制作中药饮片质量管理问题记录表，并采用帕累托图及鱼骨图分析法探讨影响中药饮片质量管理的常见问题，结合科室管理实际情况制定并实施相应的整改措施和优化策略，设为实施前。2024年7—12月，每月定期对本院400种中药饮片进行质量抽查，评估医院整体中药饮片质量管理提升情况，设为实施后。统计实施前后的中药饮片质量管理差异，并调查工作人员综合能力及工作愉悦度情况，比较实施前后数据差异，探讨帕累托图及鱼骨图分析法在促进医院中药饮片质量管理优化提升中的作用和价值。结果：帕累托图分析显示，中药饮片质量管理中的问题包括发霉、粘连、虫蛀、走油、变色及气味散失；鱼骨图分析法从人员、制度及贮存3个方面分析问题产生的原因。整改措施后，中药饮片质量管理问题下降72.92%，15名中药房饮片管理工作人员综合能力及工作愉悦度评分均明显升高（P＜0.05）。结论：帕累托图联合鱼骨图分析法应用于中药饮片质量管理中应用效果显著，可准确分析中药饮片质量管理问题，以此为依据制定整改措施和优化策略，增强工作人员技能水平，进一步提升中药饮片管理质量。
关键词：帕累托图；鱼骨图；中药饮片；贮存；质量管理
Abstract：
Objective: To explore the application
effect of Pareto chart combined with fishbone diagram analysis method in the
quality management of traditional Chinese medicine (TCM) slices. Methods: From
January 2024 to June 2024, monthly quality spot checks were conducted on 400
kinds of TCM slices in our hospital. A record table for quality management
issues of TCM slices was created, and the Pareto chart and fishbone diagram
analysis methods were used to explore common problems affecting the quality management
of TCM slices. Based on the actual situation of department management,
corresponding corrective measures and optimization strategies were formulated
and implemented, setting as before implementation. From July 2024 to December
2024, monthly quality spot checks were conducted on 400 kinds of TCM slices,
and the overall improvement of the hospital's quality management of TCM slices
was assessed, setting as after implementation. The differences in quality
management of TCM slices before and after implementation were statistically
analyzed, and the comprehensive abilities and job satisfaction of the staff
were investigated. The data differences before and after implementation were
compared to explore the role and value of Pareto chart and fishbone diagram
analysis methods in promoting the optimization and improvement of the
hospital's quality management of TCM slices. Results: The Pareto chart analysis
showed that the problems in the quality management of TCM slices included
moldy, adhesion, worms damage, oil leakage, discoloration, and loss of odor.
The fishbone diagram analysis analyzed the causes of the problems from three
aspects, including personnel, system, and storage. After the corrective
measures, the quality management issues of TCM slices decreased by 72.92%, and
the comprehensive ability and job satisfaction scores of 15 TCM pharmacy slice
management staff increased (P<0.05). Conclusion: The application of Pareto
chart combined with fishbone diagram analysis method in the quality management
of TCM slices has significant effects. It can accurately analyze the quality
management issues of TCM slices. based on which, corrective measures and
optimization strategies can be formulated, enhancing the skill levels of staff,
and further improving the quality of slice management.
Key words：Pareto chart; fishbone diagram; traditional Chinese medicine decoction pieces; storage; quality management
发布时间：2026-01-08
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