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医疗机构外配药品的药事管理体系构建及评价
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| 篇名： | 医疗机构外配药品的药事管理体系构建及评价 |
| TITLE： | Construction and evaluation of the pharmaceutical affairs management system for externally dispensed medications in medical institutions |
| 摘要： | 目的 构建医疗机构外配药品的药事管理体系，提升外配药品的使用安全与监管效能。方法通过政策分析与我院实践，构建由制度体系、信息化平台、管理流程融合而成的外配药品药事管理体系，并评价其管理成效。结果我院通过制定《外购药品管理制度》，明确了目录遴选、处方开具、验收使用及监督评价规范；依托医院信息系统构建了外配药品信息化管理平台，实现电子处方流转、智能审方与全流程追溯；将制度与平台功能嵌入目录遴选、处方开具、药品验收与使用三大核心管理流程，形成闭环工作机制。管理体系实施后（与实施前相比），我院外配处方合格率从85.2%提升至99.3%（P＜0.001），处方自动审核通过率超95%，审方处理时长从7.2min缩短至1.8min（P＜0.001），患者及医务人员满意度各维度评分均显著提高，医务人员规范认知度达100%。结论通过构建制度规范化、平台信息化、流程标准化的外配药品药事管理体系，可有效提升外配处方药品管理的合理性与管理效率，为医疗机构外配药品管理提供可推广的实践路径。 |
| ABSTRACT： | OBJECTIVE To establish a pharmaceutical management system for externally dispensed medicines in medical institutions， so as to improve medication safety and regulatory efficiency. METHODS Based on policy analysis and hospital practice， a pharmaceutical management system for externally dispensed medicines was constructed by integrating institutional frameworks， an information‑based platform and management procedures， and the management effectiveness was evaluated. RESULTS Our hospital formulated the Regulations on the Management of Externally Dispensed Medicines ， which standardized catalogue selection， prescription issuance， acceptance and use， supervision and evaluation. An information‑based management platform for externally dispensed medicines was built relying on the hospital information system， enabling electronic prescription circulation， intelligent prescription review and whole‑process traceability. Institutional requirements and platform functions were embedded into three core management procedures， namely catalogue selection， prescription issuance， and medicine acceptance and use， forming a closed‑loop working mechanism. After the implementation of the management system， compared with pre‑implementation， the qualified rate of externally dispensed prescriptions increased from 85.2% to 99.3% （ P ＜0.001）， the automatic prescription review pass rate exceeded 95%， the prescription review duration shortened from 7.2 min to 1.8 min （ P ＜0.001）. All dimensional satisfaction scores of patients and medical staff were significantly improved， the standardization awareness of medical staff reached 100%. CONCLUSIONS The construction of a pharmaceutical management system for externally dispensed medicines with standardized institutional frameworks， informatized platforms and standardized procedures effectively enhances the rationality and management efficiency of externally dispensed prescription medicines， and provides a replicable practical pathway for the management of externally dispensed medicines in medical institutions. |
| 期刊： | 2026年第37卷第11期 |
| 作者： | 谢洪宝；俞晓玲；陈振伟；吴翠鸿 |
| AUTHORS： | XIE Hongbao，YU Xiaoling，CHEN Zhenwei，WU Cuihong |
| 关键字： | 外配药品; 药事管理体系; 电子处方流转; 信息化系统; 合理用药; 风险防控 |
| KEYWORDS： | externally dispensed medicines; pharmaceutical management system; electronic prescription circulation; information system; rational drug use; risk prevention and control |
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