摘要
目的优化手术室药房药品的管理,保障患者用药安全。方法调查我院手术室药房药品的管理情况,按FOCUS-PDCA法优化智能化手术室药房的药品管理,达到药品使用闭环可追溯,并将执行FOCUS-PDCA前后的各项指标进行比较分析。结果实施FOCUS-PDCA后,药品库存周转天数、麻醉医生管理药品时间分别为(9.75±0.05)天、(8.00±0.82)min/台,与开展前相比均有所下降,具有统计学差异(P<0.01);麻醉药品处方合格比率达到100%,较之前有所上升(P<0.05),帐物相符率达到99.22%,较之前有所上升,但无统计学差异(P>0.05)。手术室医务人员的满意度有所提高,达到95.91%。结论实施FOCUS-PDCA后可以实现手术室药房智能化管理,使手术室药品管理更加规范化、科学化和精细化,促进药品合理使用,提升手术室药品管理水平,保障患者用药安全,具有一定的推广应用价值。
OBJECTIVE To optimize the management of drugs in surgical pharm acy and promote the drug safety of patients.METHODS The manage ment of drugs in surgical pharmacy was investigated,The intelligent management of surgical pharmacy was achieved according to FOCUS-PDCA method.The closed-l oop traceability of drug use in the surgical pharmacy was achieved,and compare and analyze various indicators before and after the implementation of FOCUS-PDC A.RESULTS After the implementation of FOCUS-PDCA,the turnove r days of drug inventory and the working time of anesthesiologists for preoperat ive preparation and postoperative drug billing were(9.75±0.05)day and(8.00±0.82)minutes/unit,respectively,which showed significant differences compa red to before(P<0.01);The qualified rate of narcotics prescr iptions reached 100%,which was higher than before(P<0.05),a nd he congruity between the account and the drug was 99.22%,which was higher t han before,but there was no statistical difference(P>0.05).T he satisfaction of hospital staff in the surgical pharmacy has increased,reachi ng 95.91%.CONCLUSION After implementing FOCUS-PDCA,intellig ent management of surgical pharmacy could be optimized,making drug management m ore standardized,scientific,and refined than before in the surgical pharmacy,which not only promote the rational use of drugs,improve the level of drug mana gement in the surgical pharmacy,but also ensure patient medication safety.It h as certain application value.
作者
金洁
万海方
倪坚军
徐颖颖
蔡鑫君
JIN Jie;WAN Hai-fang;NI Jian-jun;XU Ying-ying;CAIXin-jun(Department of Pharmacy,Zhejiang Integrated Traditional Chinese and Western Medicine Hospital,Hangzhou 310003,China;Department of Anesthesiology,Zhejiang Integrated Traditional Chinese and Western Medicine Hospital,Hangzhou 310003,China)
出处
《海峡药学》
2024年第9期119-123,共5页
Strait Pharmaceutical Journal
基金
杭州市生物医药和健康产业发展扶持科技专项(2022WJC048)
浙江省康恩贝医院管理软科学研究项目(2020ZHA-KEB318,2020ZHA-KEB319)。
