基于医院药品供应链的风险管理计划研究

Study on Risk Management Plans Based on the Hospital Drugs Supply Chain

目的:为尽可能地控制药品供应链流程中的各类风险因素,确保药物治疗的有效性和安全性提供参考。方法:制定风险管理计划,即识别医院药品供应链中各风险事件的发生环节、涉及范围等情况,对涉及范围广的10个风险事件进行可能性、影响力、可控性分析与评估,制定应对措施。结果与结论:风险发生环节有采购、储藏、调配、使用、高危药品管理5处。涉及范围广的10个风险事件发生可能性程度不一,影响力均在中等及以上,可控性由一般到强不等;风险优先级以采购与调配环节优先,储藏环节次之。通过建立责任矩阵、加强沟通协调、加强软硬件建设、着重人力资源管理等措施,可较好地控制风险。

OBJECTIVE： To provide reference for controlling risk factors of drug supply chain as much as possible, and to guarantee the effectiveness and safety of drug therapy. METHODS： Risk management plan was designed, i.e. identifying the risk event links and range of hospital drugs supply chain, analyzing and evaluating the possibility, impact and controllability of the wide range of 10 risk events, making intervention measures. RESULTS ＆ CONCLUSIONS： Risk events usually happen in links of purchase, storage, distribution, application and high risk drug management. The possibilities of wide range of 10 risk events are different and their impacts are in medium level or above. The controllability degrees of them are common to strong. Risk management gives priority to purchase and distribution, following by storage. Risk can be controlled effectively by establishing responsibility matrix, strengthening communication and coordination, enhancing software and hardware construction, emphasizing human resource management, etc.