中国药房2025，Vol.36Issue(14)：1703-1708,6.DOI:10.6039/j.issn.1001-0408.2025.14.03
某儿童医院门诊药房药品追溯码管理体系的构建与实践
Construction and practice of drug traceability code management system in the outpatient pharmacy of a children's hospital
摘要
Abstract
OBJECTIVE To investigate the construction and practice of a drug traceability code management system in pediatric hospitals,providing a reference for promoting drug traceability code collection in healthcare institutions.METHODS Taking the outpatient pharmacy of our hospital as the research subject,a drug traceability code management system was constructed through the upgrade of the hospital information system(HIS),process optimization,and human-machine collaboration mechanism.The PDCA(plan-do-check-act)cycle management method was applied to continuously optimize this system.Based on operational data from March 2024 to February 2025,the changes in the collection rate of drug traceability codes were analyzed,and the differences in the average patient pickup time,the average pharmacist dispensing time,and the dispensing error rate were compared before and after the implementation of the system.RESULTS In the initial period of trial operation of the drug traceability code management system(June 2024),the collection rate of drug traceability codes was 57.17%,which subsequently improved to 93.52%by February 2025 following process optimization.Compared with the pre-implementation period(March-May 2024),there was no significant difference(P＞0.05)in the average patient pickup time during the stable run-in period(August-October 2024);the overall average pharmacist dispensing time increased significantly(P＜0.001),but the clinical significance of this increase(0.42 s)was limited;stratified analyses showed a significant increase in the average pharmacist dispensing time for prescriptions involving chronic disease multidrug combinations[(23.29±6.83)s vs.(17.87±3.64)s,P＜0.001];the dispensing error rate was reduced from 0.13‰ to 0.03‰(P=0.038).CONCLUSIONS By adopting the strategy of"system reconstruction-process reengineering-human-machine collaboration",our hospital has successfully established a drug traceability code management system.While complying with national regulatory requirements,we have maintained service efficiency and reduced the medication dispensing error rate.关键词
药品追溯码/门诊药房/儿科/信息系统/流程优化Key words
drug traceability code/outpatient pharmacy/pediatrics/information system/process optimization分类
医药卫生引用本文复制引用
林金香,陈钰霜,许倩倩,王夏林,王幼鸿..某儿童医院门诊药房药品追溯码管理体系的构建与实践[J].中国药房,2025,36(14):1703-1708,6.基金项目
厦门市自然科学基金项目青年项目(No.3502Z-20227145) （No.3502Z-20227145）
厦门市医疗卫生指导性项目(No.3502Z20224ZD1269). （No.3502Z20224ZD1269）
