摘要
目的探索并构建符合国家政策要求及医疗机构实际需求的全周期药品追溯码管理模式,提升药品管理精细化程度和用药安全水平。方法采用“硬件部署、系统改造、流程重塑”三位一体的策略,通过引入智能识别设备(手持个人数字助理、高清工业读码器)、改造医院信息系统接口、重塑业务流程(药品入库-药房调配发药-药房退药-上传医保平台),实现药品追溯码全环节的信息化采集与关联。结果成功构建了基于全周期视角的药品追溯码管理模式,实现了药品的“来源可查、去向可追、责任可究”。该模式实施前后的患者取药时间分别为[3.08(1.67,5.58)]min和[3.28(1.77,5.98)]min,其中预配模式下患者取药时间分别为[3.60(2.13,6.35)]min和[3.50(2.03,6.30)]min,实时模式下患者取药时间分别为[2.05(0.83,4.03)]min和[2.78(1.18,5.38)]min;调配差错分别为3、0例;相关岗位人员编制未增加。结论基于全周期视角构建的药品追溯码管理模式能够有效满足国家政策要求,为医院精细化管理提供数据支撑,为保障患者用药安全和强化医保基金监管提供坚实的技术保障与流程支持,具有一定应用价值。
OBJECTIVE To explore and establish a full-cycle management model for drug traceability codes that aligns with national policy requirements and the practical needs of healthcare institutions,thereby enhancing the refinement of drug management and the level of medication safety.METHODS A tripartite strategy integrating“hardware deployment,system transformation,and process re-engineering”was adopted.This involved the introduction of intelligent identification devices(personal digital assistant,high-definition industrial reader),the modification of the hospital information system interface,and the re-engineering of workflows(drug warehousing,dispensing and distribution,drug withdrawal,uploading to the insurance platform)to achieve comprehensive,informatized collection and association of drug traceability codes throughout all stages.RESULTS A full-cycle management model for drug traceability codes was successfully established,realizing the goals of making drugs“traceable to their source,trackable in their distribution,and accountable in their responsibility”.The patient waiting time for medication dispensing before and after the implementation was[3.08(1.67,5.58)]min and[3.28(1.77,5.98)]min,respectively.Among them,the patient waiting time under the pre-preparation mode was[3.60(2.13,6.35)]min and[3.50(2.03,6.30)]min,respectively;the patient waiting time under the real-time mode was[2.05(0.83,4.03)]min and[2.78(1.18,5.38)]min,respectively;the number of dispensing errors was 3,0,respectively;the staffing of relevant positions had not been increased.CONCLUSIONS The drug traceability code management model constructed from a full-cycle perspective effectively meets national policy requirements.It provides data support for refined hospital management and offers solid technical and procedural safeguards for ensuring patient medication safety and strengthening medical insurance fund supervision,demonstrating practical value.
作者
张梅
龚春华
陈广惠
林嘉伟
张海威
邱凯锋
ZHANG Mei;GONG Chunhua;CHEN Guanghui;LIN Jiawei;ZHANG Haiwei;QIU Kaifeng(Dept.of Pharmacy,Sun Yat-sen Memorial Hospital,Sun Yat-sen University,Guangzhou 510120,China)
出处
《中国药房》
北大核心
2026年第7期854-858,共5页
China Pharmacy
基金
广东省医学科学技术研究基金项目(No.C2022058)。
关键词
药品追溯码
信息化管理
全周期管理
用药安全
流程优化
drug traceability code
informatized management
full-cycle management
medication safety
process optimization
