中国药房2026，Vol.37Issue(11)：1393-1397,5.DOI:10.6039/j.issn.1001-0408.2026.11.02
医疗机构外配药品的药事管理体系构建及评价
Construction and evaluation of the pharmaceutical affairs management system for externally dispensed medications in medical institutions
摘要
Abstract
OBJECTIVE To establish a pharmaceutical management system for externally dispensed medicines in medical institutions,so as to improve medication safety and regulatory efficiency.METHODS Based on policy analysis and hospital practice,a pharmaceutical management system for externally dispensed medicines was constructed by integrating institutional frameworks,an information-based platform and management procedures,and the management effectiveness was evaluated.RESULTS Our hospital formulated the Regulations on the Management of Externally Dispensed Medicines,which standardized catalogue selection,prescription issuance,acceptance and use,supervision and evaluation.An information-based management platform for externally dispensed medicines was built relying on the hospital information system,enabling electronic prescription circulation,intelligent prescription review and whole-process traceability.Institutional requirements and platform functions were embedded into three core management procedures,namely catalogue selection,prescription issuance,and medicine acceptance and use,forming a closed-loop working mechanism.After the implementation of the management system,compared with pre-implementation,the qualified rate of externally dispensed prescriptions increased from 85.2%to 99.3%(P＜0.001),the automatic prescription review pass rate exceeded 95%,the prescription review duration shortened from 7.2 min to 1.8 min(P＜0.001).All dimensional satisfaction scores of patients and medical staff were significantly improved,the standardization awareness of medical staff reached 100%.CONCLUSIONS The construction of a pharmaceutical management system for externally dispensed medicines with standardized institutional frameworks,informatized platforms and standardized procedures effectively enhances the rationality and management efficiency of externally dispensed prescription medicines,and provides a replicable practical pathway for the management of externally dispensed medicines in medical institutions.关键词
外配药品/药事管理体系/电子处方流转/信息化系统/合理用药/风险防控Key words
externally dispensed medicines/pharmaceutical management system/electronic prescription circulation/information system/rational drug use/risk prevention and control分类
医药卫生引用本文复制引用
谢洪宝,俞晓玲,陈振伟,吴翠鸿..医疗机构外配药品的药事管理体系构建及评价[J].中国药房,2026,37(11):1393-1397,5.基金项目
福建省自然科学基金面上项目(No.2024J011223) （No.2024J011223）
福州市卫生健康中青年人才科研项目(No.2022-S-wr4,No.2022-S-rc5) （No.2022-S-wr4,No.2022-S-rc5）
