医疗机构门诊用药溯源管理系统的设计与应用

发布时间：2018-08-21 07:39

【摘要】：目的:构建医疗机构门诊用药溯源管理体系,逐步完善门诊药品的溯源管理。方法:基于条形码技术自主研发医疗机构门诊用药溯源管理系统,并从系统环境、架构设计及系统功能等方面对其进行介绍,从药品发放时间差异、调配差错及退药处理和适用性调查方面对该系统的应用效果进行评价。结果:该系统基于医院信息系统网络环境,采用客户机/服务器(C/S)网络体系(B/S)结合的架构方式进行设计,设置了角色权限管理、数据提取、信息对照、数据采集及数据查询等功能模块。该系统可与药品电子监管码、商品码及其他可溯源条形码相匹配,通过软件交互实现药品由医院到使用者的全程可追溯,同时还实现了发药环节的计算机辅助校对以有效降低门诊发药差错。应用该系统后门诊单张处方平均发药时间延长了9 s;1个月内拦截配药差错24起,查证非本院药品退药4起;在受问卷调查的药师中,100%对该系统的适用性表示认可。结论:该系统可实现门诊药房药品的溯源管理,且适用性好,并进一步提高了医疗机构药品安全管控能力。
[Abstract]:Objective: to construct the management system of drug traceability in outpatient clinic and improve the traceability management. Methods: based on barcode technology, a medical outpatient drug traceability management system was developed, and the system environment, architecture design and system function were introduced. The application effect of the system was evaluated in the aspects of disposition error, drug return treatment and applicability investigation. Results: based on the network environment of hospital information system, the system was designed by client / server (C / S) network system (B / S), and the role rights management, data extraction and information comparison were set up. Data acquisition and data query and other functional modules. The system can match the electronic regulatory code, commodity code and other traceable bar codes of drugs, and can be traced from hospital to user through software interaction. At the same time, the computer-aided proofreading of drug dispensing is realized to effectively reduce the outpatient dispensing errors. After the application of the system, the average dispensing time of single prescription was prolonged for 9 s, 24 cases of dispensing errors were intercepted within one month, 4 cases of drug withdrawal were verified, and 100% of the pharmacists surveyed approved the applicability of the system. Conclusion: this system can realize the traceability management of outpatient pharmacy drugs, and has good applicability, and further improves the ability of drug safety control in medical institutions.
【作者单位】：成都军区昆明总医院药剂科;
【分类号】：R95

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