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基于智慧物联体系的手术室药品闭环管理模式的构建
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| 篇名： | 基于智慧物联体系的手术室药品闭环管理模式的构建 |
| TITLE： | Construction of a closed-loop management model of drugs in operating room based on intelligent Internet of Things system |
| 摘要： | 目的 为提升医院手术用药安全的药事管理水平提供参考。方法我院手术室药房借助物联网理念和手段，搭建手术室药品智慧物联体系（以下简称为“物联体系”），并对其进行优化完善。从质量、效率、成本、满意度4个方面设置评价指标比较物联体系试行初期（2022年第一季度）及优化完善后（2023年第一季度）我院手术室药品管理水平。结果通过1年多的优化完善，我院以手术室药品流通走向为轴线，搭建了以智能药车为硬件基础，以麻醉医嘱信息系统为软件媒介，集成手术麻醉系统、医院信息系统的药品全流程可追溯的物联体系。物联体系优化完善后，手术室麻醉医嘱规范化评分由试行初期的（68.5±3.5）分显著提升至（97.0±2.7）分，账物相符率由（82.40±8.85）%显著上升至（96.50±4.80）%，取用药时间由（40±8）min显著缩短至（12±3）min，每日退药频次由（36.0±6.5）次显著下降至（15.5±3.0）次，每月报损金额由（1292.61±305.90）元显著降低至（594.24±195.05）元，医护人员满意度由（80.5±6.5）分显著提升至（96.0±3.0）分，各项指标变化均具有统计学意义（P＜0.05）。结论我院构建的该物联管理体系有效保障了手术用药的可及性、及时性、安全性，有利于手术室药品管理质量的提升。 |
| ABSTRACT： | OBJECTIVE To provide reference for improving the level of hospital pharmaceutical management for operating room drugs. METHODS The operating room pharmacy of our hospital utilized the concept and means of the Internet of Things （IoT） to build an intelligent IoT system for operating room drugs （hereinafter referred to as the “IoT system”）， and optimized and improved it. The quality of drug management in the operating room of our hospital during the initial phase of the IoT system （Q1 2022） and after optimization and improvement （Q1 2023） were compared by setting indicators from four aspects： quality， efficiency， cost， and satisfaction. RESULTS After more than a year of optimization and improvement， our hospital has built a traceable IoT system for the entire drug process that integrated surgical anesthesia systems and hospital information systems， with the direction of drug circulation in the operating room as the axis， using intelligent drug vehicles as the hardware foundation， and anesthesia doctor’s order information system as the software medium. After the optimization and improvement of the IoT system， the standardized score of anesthesia orders in the operating room increased from （68.5±3.5） points in the initial period to （97.0± 2.7） points； the consistency rate between accounts and materials increased from （82.40±8.85）% to （96.50±4.80）%； the time of taking medicine was shortened from （40±8） min to （12±3） min； the frequency of drug withdrawal was reduced from （36.0± 6.5） times/day to （15.5±3.0） times/day； the cost of loss drugs was decreased from （1 292.61±305.90） yuan to （594.24±195.05） yuan； the satisfaction was increased from （80.5±6.5） points to （96.0±3.0） points. All indicators were significantly improved with statistically significant differences （P＜0.05）. CONCLUSIONS The intelligent IoT system constructed by our hospital effectively ensures the accessibility， timeliness， and safety of intraoperative medication， which is conducive to improving the quality of drug management in the operating room. |
| 期刊： | 2024年第35卷第14期 |
| 作者： | 钱骅；倪美鑫；曹汉忠；顾海娟；夏娴娴 |
| AUTHORS： | QIAN Hua，NI Meixin，CAO Hanzhong，GU Haijuan，XIA Xianxian |
| 关键字： | 手术室药品；智慧物联；闭环管理；麻醉医嘱 |
| KEYWORDS： | operating room drugs； intelligent Internet of Things； closed-loop management； anesthetic orders |
| 阅读数： | 12 次 |
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