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四川省医疗机构药品追溯码全流程管理专家共识
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| 篇名： | 四川省医疗机构药品追溯码全流程管理专家共识 |
| TITLE： | Expert consensus on whole-process management of drug traceability codes in medical institutions of Sichuan province |
| 摘要： | 目的 为四川省医疗机构药品追溯码全流程管理提供标准化指引，以保障用药安全并符合医保监管要求。方法遵循循证决策与专家共识相结合的原则，通过系统性文献回顾、实地调研，组建多学科指导专家委员会，并采用德尔菲法进行多轮问卷咨询，最后通过召开共识会议讨论、审定形成《四川省医疗机构药品追溯码全流程管理专家共识》（简称《共识》）。结果与结论《共识》明确了核码、赋码、退码等操作规范，详细阐述了药库验收入库、药库出库与药房验收、药房及静配中心调配与发药、护理单元与检查科室用药、退药与退货流程等药品追溯码全流程管理要点，提出了完善药品追溯系统核心功能、统一全院码库管理、强化备用药品追溯码管理、建设管理组织与制度体系以及优化药品追溯系统的架构设计与数据治理要求等关键建议。《共识》的发布将为四川省各级医疗机构提供科学、规范、可落地的实践指引，有助于推动药品追溯体系的闭环管理，提升用药安全并满足医保监管要求。 |
| ABSTRACT： | OBJECTIVE To provide standardized whole-process guidance on drug traceability codes for medical institutions in Sichuan province， ensuring medication safety and compliance with medical insurance supervision requirements. METHODS Based on evidence-based principles and expert consensus， Expert Consensus on Whole-process Management of Drug Traceability Codes in Medical Institutions of Sichuan Province （hereinafter referred to as the Consensus） was formulated through systematic literature review， field investigations， establishment of a multidisciplinary expert committee and multiple rounds of questionnare consultation via the modified Delphi method， and finalized through consensus meetings. RESULTS & CONCLUSIONS The Consensus clarifies key operating procedures for code verification， code assignment and code return， whole-process operational standards for drug warehouse acceptance and storage， drug warehouse outbound delivery and pharmacy acceptance check， drug distribution and dispensing in pharmacy and intravenous admixture center， medication administration in nursing units and examination departments， as well as drug return process. Key recommendations are proposed such as improving the core functions of the drug traceability system， unifying the hospital-wide traceability code database， strengthening the management of traceability codes for backup medications， establishing a management organization and institutional framework， and optimizing the architectural design and data governance requirements of the drug traceability system. The release of the Consensus will provide scientific， standardized and implementable practical guidelines for medical institutions of Sichuan province， helping to improve closed-loop management of the drug traceability system， strengthen medication safety and fulfil medical insurance fund supervision. |
| 期刊： | 2025年第36卷第24期 |
| 作者： | 蒲强红；黄毅岚；刘易陇；李小丝；袁琳；余江平；蒋博；张鹏；苏强；张良明；万杰；陈力；蒋倩；范建华；杨勇 |
| AUTHORS： | PU Qianghong，HUANG Yilan，LIU Yilong，LI Xiaosi，YUAN Lin，YU Jiangping，JIANG Bo， ZHANG Peng，SU Qiang，ZHANG Liangming，WAN Jie，CHEN Li，JIANG Qian，FAN Jianhua，YANG Yong |
| 关键字： | 药品追溯码；医疗机构；全流程管理；标准；用药安全；医保 |
| KEYWORDS： | drug traceability code； medical institution； whole-process management； standard； medication safety； medical insurance |
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