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某儿童医院门诊药房药品追溯码管理体系的构建与实践
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| 篇名： | 某儿童医院门诊药房药品追溯码管理体系的构建与实践 |
| TITLE： | Construction and practice of drug traceability code management system in the outpatient pharmacy of a children’s hospital |
| 摘要： | 目的 探讨药品追溯码管理体系在儿童专科医院的构建与实践，为医疗机构推广药品追溯码采集工作提供参考。方法以我院门诊药房为研究对象，通过医院信息系统（HIS）升级、流程优化及人机协同机制构建药品追溯码管理体系，应用PDCA（即计划、实施、检查、处理）循环管理法对该体系进行持续优化。基于我院2024年3月－2025年2月的数据，分析药品追溯码采集率变化，对比管理体系实施前后的患者平均取药时间、药师平均发药时间及发药差错率差异。结果药品追溯码管理体系试运行初期（2024年6月），我院药品追溯码采集率为57.17%；经流程优化后，2025年2月采集率提升至93.52%。与实施前（2024年3－5月）比较，稳定运行期（2024年8－10月）的患者平均取药时间差异无统计学意义（P＞0.05），药师总体平均发药时间虽显著增加（P＜0.001），但该增幅（0.42s）的临床实际意义有限；分层分析结果显示，慢性病多药联用处方的药师平均发药时间显著延长（[23.29±6.83）svs.（17.87±3.64）s，P＜0.001]；发药差错率由0.13‰降至0.03‰（P＝0.038）。结论我院通过“系统重构-流程再造-人机协同”策略，成功构建了药品追溯码管理体系，在符合国家监管要求的前提下，维持了药学服务效率并降低了发药差错率。 |
| ABSTRACT： | OBJECTIVE To investigate the construction and practice of a drug traceability code management system in pediatric hospitals， providing a reference for promoting drug traceability code collection in healthcare institutions. METHODS Taking the outpatient pharmacy of our hospital as the research subject， a drug traceability code management system was constructed through the upgrade of the hospital information system （HIS）， process optimization， and human-machine collaboration mechanism. The PDCA （plan-do-check-act） cycle management method was applied to continuously optimize this system. Based on operational data from March 2024 to February 2025， the changes in the collection rate of drug traceability codes were analyzed， and the differences in the average patient pickup time， the average pharmacist dispensing time， and the dispensing error rate were compared before and after the implementation of the system. RESULTS In the initial period of trial operation of the drug traceability code management system（June 2024）， the collection rate of drug traceability codes was 57.17%， which subsequently improved to 93.52% by February 2025 following process optimization. Compared with the pre-implementation period （March-May 2024）， there was no significant difference （P＞0.05） in the average patient pickup time during the stable run-in period （August-October 2024）； the overall average pharmacist dispensing time increased significantly （P＜0.001）， but the clinical significance of this increase （0.42 s） was limited； stratified analyses showed a significant increase in the average pharmacist dispensing time for prescriptions involving chronic disease multidrug combinations （[ 23.29±6.83） s vs. （17.87±3.64 ） s， P＜0.001]； the dispensing error rate was reduced from 0.13‰ to 0.03‰ （P＝0.038）. CONCLUSIONS By adopting the strategy of “system reconstruction-process reengineering-human-machine collaboration”， our hospital has successfully established a drug traceability code management system. While complying with national regulatory requirements， we have maintained service efficiency and reduced the medication dispensing error rate. |
| 期刊： | 2025年第36卷第14期 |
| 作者： | 林金香；陈钰霜；许倩倩；王夏林；王幼鸿 |
| AUTHORS： | LIN Jinxiang，CHEN Yushuang，XU Qianqian，WANG Xialin，WANG Youhong |
| 关键字： | 药品追溯码；门诊药房；儿科；信息系统；流程优化 |
| KEYWORDS： | drug traceability code； outpatient pharmacy； |
| 阅读数： | 6 次 |
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