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基于SWOT分析的住院药房“互联网+药品配送”管理模式优化策略研究
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| 篇名： | 基于SWOT分析的住院药房“互联网+药品配送”管理模式优化策略研究 |
| TITLE： | Optimization strategy of inpatient pharmacy “internet-based medicine delivery”management model based on SWOT analysis |
| 摘要： | 目的 解决我院住院药房承接“互联网+药品配送”（IMD）业务面临的管理挑战，提升服务效率与用药安全水平。方法运用SWOT分析法，系统梳理内外部因素，制定综合管理策略，进行服务流程重构。优化内容包括：构建基于药品追溯码的发药、退药闭环流程；统一住院药房与IMD药品目录，优化货位管理；改进医院信息系统库存管理功能，调整盘点方案及排班规则等。比较上述优化策略实施前和实施后住院药房的库存结构、调配效率、盘点准确率、处方合理率以及人机审核一致率等指标，以评价实施效果。结果实施上述优化策略后，住院药房的药品库存结构显著优化，近效期药品减少35.55%，滞销药品减少64.52%，积压4周及以上的药品减少33.26%；处方调配速度提升34.92%，药品日请领时间缩短62.03%；盘点准确率由86.33%提高至90.33%，处方合理率、人机审核一致率分别由86.00%、89.33%提高至95.00%和97.00%。此外，药品追溯系统的上线使得外部调配差错由之前的4起降低至1起。结论基于SWOT分析的综合管理策略可有效提升住院药房药品管理质量与IMD的运行效率，确保患者用药及时、安全。 |
| ABSTRACT： | OBJECTIVE To address the management challenges encountered by inpatient pharmacy of our hospital in undertaking “internet-based medicine delivery” （IMD） services， and to improve service efficiency and medication safety. METHODS SWOT analysis method was applied to systematically examine both internal and external factors， formulate comprehensive management strategies， and restructure the service processes. Process optimization included： establishing a closed-loop process for dispensing and returning drugs based on the drug traceability codes； unifying the drug inventory of the inpatient pharmacy with that of IMD， optimizing the management of storage locations； improving the inventory management function of the hospital information system， and adjusting the inventory counting plan and shift scheduling rules. The indicators of the inpatient pharmacy， including inventory structure， dispensing efficiency， inventory checks accuracy rate， the rationality rate of prescription， and consistency rate of human-machine review， were compared before and after the implementation of the strategies to evaluate the implementation effects. RESULTS After implementation， the structure of the drug inventory was significantly optimized. The proportion of drugs approaching their expiration dates decreased by 35.55%， the proportion of unsold drugs decreased by 64.52%， and the proportion of drugs that had been accumulated for more than 4 weeks decreased by 33.26%. The speed of prescription dispensing increased by 34.92%， and the daily drug requisition time was shortened by 62.03%. The accuracy rate of inventory checks rose from 86.33% to 90.33%， while the rationality rate of prescriptions and the consistency rate of human-machine review rose from 86.00% and 89.33% to 95.00% and 97.00% respectively. Furthermore， the launch of the drug traceability system reduced external dispensing errors from 4 to 1. CONCLUSIONS The comprehensive management strategy based on SWOT analysis can effectively improve the quality of drug management in the inpatient pharmacy and the operational efficiency of IMD， ensuring timely and safe medication for patients. |
| 期刊： | 2026年第37卷第10期 |
| 作者： | 谢经；李淑佩；刘史佳；王小敏 |
| AUTHORS： | XIE Jing，LI Shupei，LIU Shijia，WANG Xiaomin |
| 关键字： | 互联网+药品配送；住院药房；SWOT分析 |
| KEYWORDS： | internet-based medicine delivery； inpatient pharmacy； SWOT analysis |
| 阅读数： | 7 次 |
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