Establishment and Continuous Improvement of a Closed-loop Mode for the Management of Medications used During Surgery

OBJECTIVE To ensure the safety,effectiveness and timeliness of medication during surgery through strengthened supervision of the quality and use of drugs.METHODS An operation pharmacy was established where pharmacists take responsibility for the quality of drugs,and the working systems,post responsibilities and standard operating procedures for its running were formulated;A closed-loop mode was constructed in the entire course of request,use and return of drugs by using cases and boxes as transporter.In this loop:Pharmacists filled the cases and boxes with drugs in advance according their respective catalogues;Anesthesiologists got the cases and boxes and other drugs if necessary from the operation pharmacy;After surgery,the anesthesiologists returned the remaining drugs and empty ampoules,which were checked by pharmacists in terms of the number of drugs actually used,prescribed in medical orders and the number of empty ampoules.RESULTS After the establishment of the operation pharmacy,drug quality has been monitored effectively,the quality of the prescriptions has been improved significantly,and an accordance among the number of drugs actually used,prescribed in medical orders and the number of empty ampoule has been achieved.CONCLUSION To establish an operation pharmacy with a closed-loop mode can realize the fine management of medications used during surgery.