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医疗机构麻精药品SOP全流程及信息化管理的应用效果

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目的 探讨医疗机构麻醉药品、第一类精神药品(简称"麻精药品")构建标准作业程序(standard operating procedure,SOP)全流程管理体系以及信息化管理的应用效果,以期提高医务人员工作效率与准确性,减少工作负荷和成本。方法 2022年7—12月,由市三级甲等医疗机构药事管理专家组成药学调查组采取随机抽样与分层抽样相结合模式分别对全市三级、二级、专科、社区、民营等共33家医疗机构的麻精药品管理及使用情况进行调查。分别抽取全程化麻精药品管理体系实施前(2022年7—12月)与实施后(2023年9—12月)的资料进行监督检查,将发现的问题进行汇总分析,以评估效果。结果 实施后,医疗机构药品管理制度、账册、基数管理、储存管理、余液处理、空安瓿回收、其他不规范数低于实施前(P<0。05)。实施后麻精药品处方合格率、残余液管理规范率、空安瓿批号管理相符率分别为84。85%、87。58%、91。67%,高于实施前的66。06%、65。45%、64。55%(P<0。05)。实施后麻精药品专册登记管理平均用时为(10。16±0。25)h,短于实施前的(17。27±0。57)h(P<0。05)。结论 医疗机构麻精药品SOP全流程规程制定及电子信息化管理应用可提高特殊管制药品管理与应用水平,使药品管理更具有科学性和实操性。
The Application Effect of SOP Whole Process and Information Management of Anesthesia and Psychotropic Drugs in Medical Institutions
Objective To explore the application effect of standard operating procedure (SOP) whole process and information-based management system for anesthesia drugs and class Ⅰ psychotropic drugs (referred to as "anesthesia and psychotropic drugs") in medical institutions,in order to improve the efficiency and accuracy of medical staff to reduce the workload and cost. Methods From July to December 2022,a pharmaceutical investigation team composed of pharmaceutical management experts from third-level A medical institutions in the city adopted a combination of random sampling and stratified sampling mode to investigate the management and use of anesthesia and psychotropic drugs in 33 medical institutions in the city,including third-level,second-level,specialist,community and private institutions. Data before the implementation of the whole-process anesthesia and psychotropic drugs management system (from July to December 2022) and after the implementation of the system (from September to December 2023) were respectively selected for supervision and inspection,and the identified problems were pooled and analyzed to evaluate the effect. Results After the implementation,the drug management system,account books,base management,storage management,residual liquid treatment,empty ampoule recovery,and other non-standard numbers of medical institutions were lower than before the implementation (P<0.05). After the implementation,the qualified rate of anesthesia and psychotropic drugs,the standard rate of residual liquid management and the conformity rate of empty ampule batch number management were 84.85%,87.58% and 91.67%,respectively,which were higher than 66.06%,65.45% and 64.55% before the implementation (P<0.05). After the implementation,the average time for registration of anesthesia and psychotropic drugs was (10.16±0.25) h,which was shorter than that before the implementation (17.27±0.57) h (P<0.05). Conclusion The development of SOP procedures for anesthesia and psychotropic drugs in medical institutions and the application of electronic information management can improve the management and application level of special controlled drugs,and make drug management more scientific and practical.

medical institutions anesthesia drugsclass Ⅰ psychotropic drugscomplete process management systeminformatization systemstandard operating procedureelectronic information management

黄丽芳、黄剑锋

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惠州市第一人民医院药学部,广东惠州 516000

医疗机构麻醉药品 第一类精神药品 全流程管理体系 信息化系统 标准作业程序 电子信息化管理

2024

中国卫生标准管理
《中国卫生标准管理》杂志社

中国卫生标准管理

影响因子:1.374
ISSN:1674-9316
年,卷(期):2024.15(20)