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利用药品电子监管码减少医院门诊药房相似药品调剂差错并实现门诊药品的可溯源性
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| 篇名： | 利用药品电子监管码减少医院门诊药房相似药品调剂差错并实现门诊药品的可溯源性 |
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| 摘要： | 目的：减少我院门诊药房相似药品调剂差错，实现门诊药品溯源。方法：在对医院信息系统（HIS）药品字典后台数据库中加入药品电子监管码字段的基础上，改进我院门诊药房处方调剂流程，在二次审核发药操作前增加药品电子监管码扫码审核操作，并据此实现药品终端溯源。通过对比改进前、后12个月的调剂外差率、盘点中发现的与相似药品调剂差错有关的“特殊异常数据”占比、患者候药时间等指标，评价改进前后门诊药房处方调剂质量。结果：增加药品电子监管码审核操作后，相似药品引起的调剂外差由22例降低为1例（占总处方数比例分别为0.019 7‰、0.010 3‰），“特殊异常数据”数量由836条下降为436条（占总异常数据比例分别为31.5％、16.8％），患者平均候药时间未见明显延长（分别为10.85、10.88 min），并实现了大部分门诊药品从药房到患者之间的溯源查询。结论：利用药品电子监管码可减少门诊药房相似药品调剂外差，有利于药品溯源链的建立、提升药学服务质量。 |
| ABSTRACT： | OBJECTIVE： To reduce the dispensing errors of similar drugs in hospital outpatient pharmacy， and realize the drug traceability. METHODS： Based on adding drug electronic regulatory code field in drug dictionary background database of hospital information system （HIS）， prescription dispensing process in outpatient pharmacy of our hospital was improved. Drug electronic regulatory code was added for scanning code review before secondary review dispensing， and drug terminal traceability was realized based on it. Through comparing the dispensing outing error rate before and after 12 months of improvement， ratio of “special abnormal data” related with dispensing error of similar drugs in checking， patients’ waiting time and other indicators， the prescription dispensing quality of outpatient pharmacy before and after improvement was evaluated. RESULTS： After adding drug electronic regulatory code for scanning code review， the dispensing outing error of similar drugs was decreased from 22 cases to 1 case （accounting for 0.019 7‰， 0.010 3‰， respectively）， number of “special abnormal data” was decreased from 836 to 436 （accounting for 31.5％， 16.8％， respectively）， and the average waiting time of patients had no obvious extension （10.85 min， 10.88 min， respectively）. It had achieved the traceability inquiry of most outpatient drugs from the pharmacy to the patients. CONCLUSIONS： The drug electronic regulatory code can reduce the dispensing outing error of similar drugs in outpatient pharmacy， which is conducive to the establishment of drug traceability chain and has improved the quality of pharmaceutical care. |
| 期刊： | 2017年第28卷第28期 |
| 作者： | 罗俊，韦坤璇，黄振光，刘国萍，何薇 |
| AUTHORS： | LUO Jun，WEI Kunxuan，HUANG Zhenguang，LIU Guoping，HE Wei |
| 关键字： | 门诊药房；药品电子监管码；调剂外差；相似药品；药品溯源 |
| KEYWORDS： | Outpatient pharmacy； Drug electronic regulatory code； Dispensing outing error； Similar drugs； Drug traceability |
| 阅读数： | 450 次 |
| 本月下载数： | 10 次 |
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