摘要
目的 为实现医院外购药的信息化管理提供参考。方法 介绍东莞市人民医院外购药信息化管理模式的实践经验,包括构建基于医院信息系统(HIS)的外购药管理系统,实现外购药的信息化管理;优化管理流程,对外购药进行闭环管理。收集医院外购药管理信息化管理前(2021年6~7月)外购药纸质申请单和处方,从HIS系统导出并收集外购药管理信息化管理后(2021年9~10月)的外购药电子申请单和处方,包括外购药申请时间、外购药执行时间、外购药申请单内容和处方内容等;并计算患者外购药使用等候时间及对外购药处方进行点评,比较信息化管理前后的患者用药等候时间和处方点评效果。统计外购药管理信息化管理前后的外购药审核药师的排班情况。结果 外购药管理系统运行后,对外购药的处方开具、审核、签收和使用等流程实现信息化,各流程均可在HIS系统上进行操作。信息化管理后的外购药处方不合理率为2.63%,明显低于信息化管理前的13.49%,差异具有统计学意义(P<0.05);信息化管理后的患者用药等候时间为(2.51±2.25) h,明显少于信息化管理前的(29.67±40.05) h,差异有统计学意义(P<0.05);负责外购药审核的药师数量由信息化管理前的9人减少至信息化管理后的2人,为医院节约了人力成本。结论 建立基于HIS的外购药管理系统,实现了对外购药的规范化、信息化管理,不仅显著提高外购药处方的合理率,缩短患者的等候时间,还减少了各种人为因素导致的错误,提高了医务人员的工作效率和保证了患者用药安全。
Objective To provide reference for the information management of outsourcing drugs in hospital.Methods The practical experience of information management mode of outsourcing drugs in Dongguan People's Hospital was introduced,including building an outsourcing drugs management system based on the hospital information system(HIS)to realize the information management of outsourcing drugs,optimizing the management process and conducting closed-loop management of outsourcing drugs.The paper application forms and prescriptions of outsourcing drugs before the informatization of outsourcing drugs management in the hospital(June to July,2021)were collected,and those after the informatization(September to October,2021)were exported from the hospital's HIS system,including the application time of outsourcing drugs,the execution time of outsourcing drugs,the content of outsourcing drugs application form and prescription.The waiting time for the use of outsourcing drugs were calculated and comments on the prescription of outsourcing drugs were collected,which were compared before and after informatization.The the pharmacist scheduling before and after the informatization was recorded.Results After the operation of the outsourcing drugs management system,the prescription,review,receipt,and use of the outsourcing drugs were informationized,and all processes could be operated on the HIS system.The irrational rate of outsourcing drug prescription after informatization was 2.63%,which was significantly lower than 13.49%before informatization(P<0.05).The waiting time of medication was(2.51±2.25)h after informatization,which was significantly less than(29.67±40.05)h before informatization(P<0.05).The number of pharmacists responsible for the review of outsourcing drugs is reduced from 9 before informatization to 2 after informatization,which saves the human cost for the hospital.Conclusion The outsourcing drugs management system based on HIS realizes the standardization and information management of the outsourcing drugs,which can not only significantly improve the reasonable rate of prescription of outsourcing drugs,shorten the waiting time of patients,but also reduces the errors caused by various human factors,and thus improves the work efficiency of medical staff and ensures the safety of patients.
作者
胡润凯
谢家隆
罗振光
HU Run-kai;XIE Jia-long;LUO Zhen-guang(Department of Pharmacy,Dongguan People's Hospital,Dongguan 523059,Guangdong,CHINA)
出处
《海南医学》
CAS
2023年第14期2057-2061,共5页
Hainan Medical Journal
基金
广东省东莞市社会发展科技面上项目(编号:20211800903072)。
关键词
外购药
信息化管理
药品管理
医院信息系统
应用
Outsourcing drug
Information management
Drug management
Hospital information system
Application
