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医疗机构门诊用药溯源管理系统的设计与应用
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| 篇名： | 医疗机构门诊用药溯源管理系统的设计与应用 |
| TITLE： | |
| 摘要： | 目的：构建医疗机构门诊用药溯源管理体系，逐步完善门诊药品的溯源管理。方法：基于条形码技术自主研发医疗机构门诊用药溯源管理系统，并从系统环境、架构设计及系统功能等方面对其进行介绍，从药品发放时间差异、调配差错及退药处理和适用性调查方面对该系统的应用效果进行评价。结果：该系统基于医院信息系统网络环境，采用客户机/服务器（C/S）网络体系（B/S）结合的架构方式进行设计，设置了角色权限管理、数据提取、信息对照、数据采集及数据查询等功能模块。该系统可与药品电子监管码、商品码及其他可溯源条形码相匹配，通过软件交互实现药品由医院到使用者的全程可追溯，同时还实现了发药环节的计算机辅助校对以有效降低门诊发药差错。应用该系统后门诊单张处方平均发药时间延长了9 s；1个月内拦截配药差错24起，查证非本院药品退药4起；在受问卷调查的药师中，100％对该系统的适用性表示认可。结论：该系统可实现门诊药房药品的溯源管理，且适用性好，并进一步提高了医疗机构药品安全管控能力。 |
| ABSTRACT： | OBJECTIVE： To develop the drug traceability management system in outpatients of medical institutions， and gradually improve its traceability management. METHODS： Based on barcode technology， drug traceability management system in outpatients of medical institutions was independently developed， introducing it from system environment， framework design and system function， and the application results were evaluated in terms of differences in dispensing time， deployment error， drug withdrawal treatment and applicability investigation. RESULTS： The system was developed on hospital information system network environment， which was designed by combination of client/server （C/S） network system （B/S） and set function modules as follows as role rights management， data extraction， information control， data acquisition and data query. The system can match with drug electronic surveillance code， commodity code and other traceable barcodes， achieve drug tracing from hospitals to users through software interaction， as well as the computer-aided calibration in dispensing to effectively reduce outpatient’s dispensing error. The average time for each outpatient prescription prolonged 9 s after using the system； 24 dispensing errors and 4 non-normal withdrawals were prevented within 1 month； 100％ surveyed pharmacists expressed approval for the system’s applicability. CONCLUSIONS： The system can achieve the drug suitability management in outpatients， which has shown good applicability and further improved drug safety management and control capabilities in medical institutions. |
| 期刊： | 2017年第28卷第10期 |
| 作者： | 徐帆，徐贵丽，夏伟，徐正雄，石骥 |
| AUTHORS： | XU Fan，XU Guili，XIA Wei，XU Zhengxiong，SHI Ji |
| 关键字： | 门诊用药溯源管理系统；门诊药房；条形码技术；功能模块 |
| KEYWORDS： | Drug traceability management system； Outpatient pharmacy； Barcode technology； Function module |
| 阅读数： | 340 次 |
| 本月下载数： | 9 次 |
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