药品库存管理的分析与探讨

Analysis and discussion of drug inventory management

目的:分析上海市嘉定区中医医院的药品周转情况,为提高药品周转率提供数据支持。方法:利用医院信息管理系统(HIS)收集本院2014-2016年西药库的出库和结存数据,并收集各药房的报表、领药计划等,用Excel表格分类整理分析,计算药品周转率、品种达标情况和短缺率等。结果:2014-2016年全院药品周转天数分别为8.2 d、9.3 d和10.8 d,品种平均短缺率为(7.4±1.3)%、(10.1±2.9)%和(17.9±6.8)%,周转天数和短缺率均逐年递增,2016年药库按品种计算,周转率只有72.8%达标。结论:各部门的药品库存周转率按金额计算,符合2012年卫生部《国家级优质评审标准》要求,但按品种计算周转率尚未完全达标。我院药品库存管理缺乏统一科学的信息化管理方法,且周转率有逐年下降的趋势。利用信息化的手段科学合理的控制药品库存,从而进一步降低全院药品周转天数,可减少药品库存成本。

Objective： To analyze drug turnover situation of Traditional Chinese Medicine Hospital of Jiading District, Shanghai to provide the data support for improving the drug turnover rate. Methods： Using hospital information management system （HIS） the data of the delivery of drugs and inventory from western medicine library from 2014 to 2016 were collected and the reports of various pharmacies, drug delivery plan, etc. were also collected. Excel form was used to classify, analyze and calculate the turnover rate of drugs, the standard of varieties and the shortage rate, etc. Results： From 2014 to 2016, the turnover days of drugs in the whole hospital were 8.2 D, 9.3 D and 10.8 D, respectively. The average shortage rate of varieties was （7.4＋1.3） %, （10.1~2.9） % and （17.9~6.8） %. Turnover days and shortage rates increased year by year. In 2016, according to species calculation, the turnover rate reached only 72.8% standard. Conclusion： Drug inventory turnover rates in various departments are calculated at the amount, which meet the requirements of the ＂national quality evaluation standard＂ of Ministry of Health in 2012, but according to the variety calculation, the turnover rates have not been completely up to standard. The management of drug stock in our hospital lacks the unified and scientific information management methods, and the turnover rate is decreasing year by year. The use of information technology controls the drug stocks scientifically and rationally to further reduce the total number of days of drug turnover in the hospital, which can reduce the drug inventory costs.