返回 
加入收藏
基于追溯码和药品批号融合的智慧药房全流程管理体系构建
x
请在关注微信后，向客服人员索取文件
| 篇名： | 基于追溯码和药品批号融合的智慧药房全流程管理体系构建 |
| TITLE： | Construction of whole-process management system for smart pharmacy based on the integration of traceability codes and drug batch numbers |
| 摘要： | 目的 构建基于药品批号和追溯码融合的智慧药房全流程管理体系，解决中心药房拆零药品追溯码上传率低与追溯难的问题，提升中心药房精细化管理水平与用药安全。方法遵循FOCUS-PDCA框架（发现问题、组织团队、澄清现状、理解原因、选择方案-计划、执行、检查、处理），实施优化批号管理流程、引入“预扫描登记”技术及建立动态“码池”机制等举措，构建药品批号追溯码管理体系；并基于2025年6－8月的我院医保上传数据与业务运行指标，对比分析体系实施前后的管理效能差异。结果我院成功构建了药品批号追溯码管理体系，实现了住院药品特别是拆零药品的“一物一码”全流程与批号关联。应用该体系后，住院药品追溯码上传率为100%，显著高于我市其他三级医院住院药品平均上传率（最高仅为23.22%，P＜0.001）；库存盘点误差率由0.9%降至0.3%（降幅为66.7%）；日均调剂内部差错数量由1.43起下降至0.37起；临时医嘱平均调配时间（14.75min）恢复至该体系实施前的常规水平（14.42min）。结论该体系通过“预扫描登记-码池管理-闭环追溯”模式，实现了单个最小包装单位药品的可追溯，提高了追溯码上传率，在大幅降低发药差错率的同时，并不增加临时医嘱调配的时间成本，兼顾了效率与追溯闭环。 |
| ABSTRACT： | OBJECTIVE To construct a whole-process management system for the smart pharmacy based on the integration of drug batch numbers and traceability codes， aiming to solve the problems of low upload rates and traceability difficulties of drug traceability codes in the central pharmacy， and to enhance its level of refined management and medication safety. METHODS Following the FOCUS-PDCA framework（find，organize，clarify，understand，select-plan，do，check，act）， a drug batch number and traceability code management system was established by optimizing batch number management processes， introducing “pre-scan registration” technology， and establishing a dynamic “code pool” mechanism. Based on medical insurance upload data and operational performance indicators in our hospital from June to August 2025， the differences in management efficacy before and after the implementation of the system were compared and analyzed. RESULTS The drug batch number and traceability code management system was successfully established， achieving “one-object， one-code” whole-process association with batch numbers for inpatient drugs， especially split drugs. After the application of this system， the upload rate of inpatient drug traceability codes reached 100%， significantly higher than the average upload rate of inpatient drugs in other tertiary hospitals in our city （with the highest rate being only 23.22%， P ＜0.001）. The inventory stocktaking error rate dropped from 0.9% to 0.3% （a decrease of 66.7%）； the number of daily dispensing errors decreased from 1.43 to 0.37； the dispensing time （14.75 min） for temporary medical orders recovered to the routine level （14.42 min） prior to the system implementation. CONCLUSIONS By adopting the “pre-scan registration-code pool management-closed-loop traceability” model， this system enables traceability for individual drug products in their smallest packaging units， improves the upload rate of traceability codes， significantly reduces the medication dispensing error rate， and does not increase the time cost for temporary medical order dispensing， thereby balancing efficiency with closed-loop traceability. |
| 期刊： | 2026年第37卷第05期 |
| 作者： | 张子阳；邵丹妍；凡俊娟；包健安；马晶晶 |
| AUTHORS： | ZHANG Ziyang，SHAO Danyan，FAN Junjuan，BAO Jian’an，MA Jingjing |
| 关键字： | 药品追溯码；批号；码池；中心药房；拆零药品；闭环管理；智慧药房 |
| KEYWORDS： | drug traceability code； batch number； code pool； central pharmacy； split drugs； closed-loop management； smart |
| 阅读数： | 1 次 |
| 本月下载数： | 0 次 |
* 注：未经本站明确许可，任何网站不得非法盗链资源下载连接及抄袭本站原创内容资源!在此感谢您的支持与合作！
