Construction and Application Effectiveness Evaluation of the “Three Levels, Four Dimensions” Management System of Analgesic Drugs in the Perioperative Period

OBJECTIVE To construct a tiered and categorized management system for analgesic drugs and evaluate its application effectiveness in perioperative pain management.

METHODS Based on the WHO three-step analgesic ladder principle, by using PDCA cycle method, a “three-level, four-dimensional” management model was established by integrating drug risk classification and prescription authority control.

RESULTS Through the establishment of the “three-level, four-dimensional” support framework, the rates of non-compliant prescriptions and incomplete registration of residual medication showed improvement, while the rates of mismatched drug batch numbers with prescriptions and incomplete recovery records of analgesic pump residual medication were significantly enhanced(P<0.05), furthermore, under comparable patient age and gender and without increasing hospital stay duration, significant improvements were observed in the duration of opioid use, average total dosage, and the proportion of opioid drug costs(P<0.001).

CONCLUSION The “three-level, four-dimensional” management model effectively balances analgesic efficacy and medication safety which required institutional design, technical supervision, and multidisciplinary collaboration.