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基于物联网和区块链的门诊药房药品全流程追溯闭环管理体系构建
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| 篇名： | 基于物联网和区块链的门诊药房药品全流程追溯闭环管理体系构建 |
| TITLE： | Establishment of a closed-loop management system for the whole-process traceability of outpatient drugs based on internet of things and blockchain technology |
| 摘要： | 目的 基于物联网和区块链技术构建门诊药房药品全流程追溯闭环管理体系，并评价实施效果。方法基于药品追溯码，借助物联网和区块链技术设计覆盖药品全生命周期的门诊药房药品全流程追溯闭环管理体系。对比体系实施前（2024年10－12月）及实施后（2025年1－3月）的入库药品验收时间、药品追溯码采集条目数等指标，从工作效率、药品管理质量、数据安全3个维度评估该体系的实施效果。结果成功构建了以药品追溯码管理系统为核心的门诊药房药品全流程追溯闭环管理体系。入库药品验收时间由实施前的（4.65±0.26）h缩短至实施后的（0.34±0.08）h（P＜0.05）；药品追溯码采集条目数由419018条增加到1236522条（P＜0.05），追溯码覆盖率从28.36%提高至89.88%（P＜0.05）；药师每周用于药品效期管理的时间由（128.40±19.20）min缩短至（0.56±0.13）min（P＜0.05），单张处方（除部分注射剂及拆零药品外）发放时间由（143.25±17.67）s缩短至（15.24±10.08）s（P＜0.05）；退药时间由129.90（122.32，137.00）s缩减到104.36（89.91，117.33）s（P＜0.05）；药品出门差错由2件降至0件；该体系上线后，我院门诊药房未发生数据安全事件。结论所构建的门诊药房药品全流程追溯闭环管理体系能显著优化药品追溯精度和药品管理质量，提高药师工作效率，降低药品管理风险，可为医院药学服务数智化转型提供可行方案。 |
| ABSTRACT： | OBJECTIVE To establish a closed-loop management system for the whole-process traceability of outpatient drugs based on internet of things （IoT） and blockchain technology， and evaluate its implementation effects. METHODS A closed-loop management system for the whole-process traceability of outpatient drugs covering the entire drug lifecycle was designed using drug traceability codes integrated with IoT and blockchain technology. System effectiveness was evaluated from three dimensions： work efficiency， medication management quality and data safety by comparing indicators such as the acceptance time of incoming drugs and the number of collected drug traceability codes before the system implementation （October to December 2024） and after the system implementation （January to March 2025）. RESULTS A closed-loop management system for the whole-process traceability of outpatient drugs， centered around the drug traceability code management system， was successfully established. The acceptance time for incoming drugs was shortened from （4.65±0.26） h before implementation to （0.34±0.08） h after implementation （P＜ 0.05）. The number of collected drug traceability codes increased from 419 018 to 1 236 522， and the coverage rate of traceability codes rose from 28.36% to 89.88% （P＜0.05）. The time pharmacists spent on drug expiry management per week decreased from （128.40±19.20） min to （0.56±0.13） min （P＜0.05）， and the dispensing time for a single prescription （excluding a part of injections and repackaged drugs） was reduced from （143.25±17.67） s to （15.24±10.08） s （P＜0.05）. The time for drug return was reduced from 129.90 （122.32， 137.00） s to 104.36 （89.91， 117.33） s（P＜0.05）； the number of drug dispensing errors decreased from 2 cases to 0 cases. After the system was launched， there were no data security incidents in our outpatient pharmacy. CONCLUSIONS The constructed closed-loop management system for the whole-process traceability of outpatient drugs can significantly enhance drug traceability accuracy and drug management quality， improve pharmacist work efficiency， and reduce drug management risks， thus providing a feasible solution for the digital transformation of hospital pharmaceutical services. |
| 期刊： | 2025年第36卷第20期 |
| 作者： | 马妍菁；杭骏；王雅楠；蒋文婷；施爱明；潘杰；乔鹏 |
| AUTHORS： | MA Yanjing，HANG Jun，WANG Yanan，JIANG Wenting，SHI Aiming，PAN Jie，QIAO Peng |
| 关键字： | 药品追溯码；物联网；区块链；全流程追溯；闭环管理 |
| KEYWORDS： | drug traceability codes； internet of things； blockchain； whole-process traceability； closed-loop management |
| 阅读数： | 2 次 |
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