追溯码在药品管理中的应用研究

    Application of Traceability Code in Drug Management

    • 摘要:
      目的 结合药品追溯码采集工作实践,深入剖析其对医疗机构药品管理所产生的实际效果,以期构建基于药品追溯码的智慧药学工作新模式。
      方法 回顾性分析门诊西药房在智能发药机基础上实施药品追溯码信息采集前后同期的药品发放数据,包括药品调剂差错率、患者退药处理时效、患者满意度。
      结果 追溯码采集实施后,药品调剂差错率显著低于实施前,实施前调剂差错率为0.013%,实施后为0.002%(P<0.001);追溯码采集实施前,患者退药处理时效中位数为5.78 min,实施后为5.20 min,显著降低0.58 min,降幅达10%(P<0.05);而在满意度差异方面,追溯码采集实施前后无统计学意义,但具有积极意义。
      结论 本研究成果形成依托智能发药机并以药品追溯码为核心的智慧药学工作新模式,实现“调剂-发药-退药”全流程追溯的药品精细化管理。可以显著降低药品调剂差错率、提高退药处理速度、实现精准退药、提升药事管理水平,为患者用药安全保驾护航。

       

      Abstract:
      OBJECTIVE  To build a new model of intelligent pharmaceutical work based on drug traceability codes by integrating the practice of drug traceability codes collection and deeply analyzing its actual effect on drug management in medical institutions.
      METHODS  A retrospective analysis was conducted on outpatient pharmacy dispensing data before and after the implementation of drug traceability codes collection based on intelligent drug dispensing machines. Key metrics included the dispensing error rate, patient medication return processing time, and patient satisfaction.
      RESULTS  After the implementation of traceability codes collection, the error rate of drug dispensing was significantly lower than that before the implementation. The error rate of dispensing before the implementation was 0.013%, and after the implementation was 0.002%(P<0.001). Before the implementation of the traceability codes collection, the median duration of drug withdrawal treatment for patients was 5.78 min, and after the implementation, it was 5.20 min, which was significantly reduced by 0.58 min, with a decrease rate of 10%(P<0.05). Regarding satisfaction differences, no statistically significant variation was observed before and after traceability codes implementation, but it was positive.
      CONCLUSION The research findings have formed a new model of intelligent pharmaceutical work relying on intelligent drug dispensing machines and with drug traceability codes as the core, achieving refined drug management with full-process traceability of “dispensing-distribution-returning drugs”. It can significantly reduce the error rate of drug dispensing, increase the speed of drug return processing, achieve precise drug return, improve the level of pharmaceutical affairs management, and safeguard the safety of patients’ medication.

       

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