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1.徐州医科大学鼓楼临床学院, 江苏 徐州 221004
2.南京鼓楼医院药学部,南京 210009
Received:25 May 2024,
Revised:02 January 2025,
Accepted:2025-01-02,
Published:28 February 2025
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王甲,葛卫红,徐瑞娟等.基于SWOT分析构建住院药房拆零口服药品闭环管理体系及 效果评价 Δ[J].中国药房,2025,36(04):401-406.
WANG Jia,GE Weihong,XU Ruijuan,et al.Construction and effectiveness evaluation of a closed-loop management system for dispensed oral drugs in the inpatient pharmacy based on SWOT analysis[J].ZHONGGUO YAOFANG,2025,36(04):401-406.
王甲,葛卫红,徐瑞娟等.基于SWOT分析构建住院药房拆零口服药品闭环管理体系及 效果评价 Δ[J].中国药房,2025,36(04):401-406. DOI: 10.6039/j.issn.1001-0408.2025.04.03.
WANG Jia,GE Weihong,XU Ruijuan,et al.Construction and effectiveness evaluation of a closed-loop management system for dispensed oral drugs in the inpatient pharmacy based on SWOT analysis[J].ZHONGGUO YAOFANG,2025,36(04):401-406. DOI: 10.6039/j.issn.1001-0408.2025.04.03.
目的
2
提高住院药房拆零口服药品管理工作效率和质量,保障患者用药安全。
方法
2
运用SWOT(优势、劣势、机会、威胁)分析法对我院住院药房拆零口服药品闭环管理体系构建的内部优势与劣势、外部机会和威胁进行分析,并提出完善策略。结果与
结论
2
我院成功构建了住院药房拆零口服药品来源可查、去向可追、责任可究的精细化全程闭环可追溯管理体系。该体系应用后,拆零药品信息登记率与登记内容正确率均为100%,2024年同期的超期药品品种占比较2020年3月下降77.78%,库存量较2020年第1季度降低29.50%,每床备药量较2020年第1季度下降了32.14%;2023年同期的岗均工作量较2019年提高了49.09%,调配正确率达100%,质控问题改善率较2021年提高了25.25%。该体系有效提高了住院药房拆零口服药品管理的安全性和准确性。
OBJECTIVE
2
To improve the efficiency and quality of dispensed oral drug management in the inpatient pharmacy, and ensure the safety of drug use in patients.
METHODS
2
SWOT (strength, weakness, opportunity, threat) analysis method was used to analyze the internal strengths and weaknesses, as well as the external opportunities and threats in the construction of a closed-loop management system for dispensed oral drugs in the inpatient pharmacy of our hospital, and propose improvement strategies.
RESULTS &CONCLUSIONS
2
A refined, full-process, closed-loop traceability management system for dispensed oral drugs in the inpatient pharmacies was successfully established, which is traceable in origin, trackable in destination, and accountable in responsibility. After the application of this system, the registration rate of dispensed drug information and the correctness rate of registration content both reached 100%. The proportion of overdue drug varieties in the same period of 2024 decreased by 77.78% compared to March 2020, the inventory volume decreased by 29.50% compared to the first quarter of 2020, the per-bed medication volume decreased by 32.14% compared to the first quarter of 2020; the average workload per post in the same period of 2023 increased by 49.09% compared to 2019, the dispensing accuracy rate reached 100%, and the improvement rate of quality control problem increased by 25.25% compared to 2021. This system effectively improves the safety and accuracy of dispensed oral drug management in the inpatient pharmacy.
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QIU L , ZHOU H Y , TANG J , et al . Establishment and effectiveness evaluation of closed-loop traceability management model for drugs in inpatient departments with intelligent IoT technology [J ] . Her Med , 2024 , 43 ( 10 ): 1689 - 1694 .
张丝雨 , 沈佳钰 , 舒幼娜 , 等 . 扫码拆零模式在医院口服药品调剂管理中的应用分析 [J ] . 中国药事 , 2023 , 37 ( 10 ): 1213 - 1220 .
ZHANG S Y , SHEN J Y , SHU Y N , et al . Application analysis of drug scanning and dismounting mode in hos-pital oral drug dispensing system [J ] . Chin Pharm Aff , 2023 , 37 ( 10 ): 1213 - 1220 .
吴晓君 , 余波 , 沈亮红 , 等 . 基于SWOT分析的区域医疗中心发展战略探讨 [J ] . 中国医院管理 , 2017 , 37 ( 8 ): 72 - 73 .
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顾君 , 雷琼 , 张倢 , 等 . 自动包药机串联自动核对机调剂模式在我院中心药房的建立与应用 [J ] . 中国药房 , 2018 , 29 ( 15 ): 2135 - 2138 .
GU J , LEI Q , ZHANG J , et al . Establishment and application of automatic medicine packaging machine coupled with automatic medicine detection machine dispensing mode in central pharmacy of our hospital [J ] . China Pharm , 2018 , 29 ( 15 ): 2135 - 2138 .
周浩 , 刘晓娇 , 华履春 , 等 . 南京鼓楼医院药房闭环管理系统的设计与应用 [J ] . 江苏卫生事业管理 , 2018 , 29 ( 11 ): 1328 - 1330 .
ZHOU H , LIU X J , HUA L C , et al . Design and application of closed-loop pharmacy management system in Nanjing Gulou Hospital [J ] . Jiangsu Health Syst Manag , 2018 , 29 ( 11 ): 1328 - 1330 .
曹凯 , 钱佩佩 , 胡俊涛 , 等 . 美国重新包装药品有效期执法政策及对我国的启示 [J ] . 中国药房 , 2018 , 29 ( 1 ): 8 - 11 .
CAO K , QIAN P P , HU J T , et al . Compliance policy for expiration date of repackaged drugs in America and its enlightenments for China [J ] . China Pharm , 2018 , 29 ( 1 ): 8 - 11 .
史皓明 , 王甲 , 钱珊珊 . 住院药房自动药袋核对机应用效果评价 [J ] . 中国药业 , 2022 , 31 ( 19 ): 22 - 25 .
SHI H M , WANG J , QIAN S S . Application effect of automatic pouch checking device in inpatient pharmacy [J ] . China Pharm , 2022 , 31 ( 19 ): 22 - 25 .
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