医院药学信息化管理路径与效果评价

Pathway and Effect Evaluation of Information Management for Hospital Pharmacy

目的:促进医院药学管理信息化的实现。方法:从药品供应、合理用药监管、药学信息传播等方面介绍我院药学信息化管理路径的实践情况,从工作效率、药品调配差错率和合理用药指标等方面对信息化管理后的效果进行评价。结果:我院实施的信息化管理路径,包括建立了药品采购、入库和保管体系,药品流通管理体系和合理用药监管信息化模块等,实现了采购计划的自动生成与发布、药品入库验收条码化、药品盘点与货位管理实时化、药品保障发放前移化、窗口发药核对扫码化、药品流通质量管理信息化、温湿度监控全程化,以及对不合理处方的事后、事中、事前干预,用药预警、患者用药实时监控和慢病用药管理等。自实施信息化管理后,药品入库发票录入及盘点时间缩短;在药品调配差错中,品种差错由2015年6-12月的0.005 2%降低到2016年1-6月的0.001 6%,同期数量差错由0.006 9%降低到0.001 6%,其余差错降为零;在2014-2016年的3年内,药费占治疗费比逐年降低,住院患者分别为26.62%、24.91%、24.36%,门诊患者分别为44.06%、42.10%、41.32%;住院患者抗菌药物使用率逐年下降,分别为44.82%、44.14%、43.91%。结论:信息化建设在医院药学管理中发挥着重要作用,可有效提高工作效率、减少用药差错、促进合理用药。

OBJECTIVE：To promote the realization of information management for hospital pharmacy. METHODS：The practice of pharmacy information management pathway in our hospital was introduced in respects of drug supply,rational drug use monitoring,pharmacy information dissemination,etc. The effects of information management were evaluated in respects of work efficiency,the rate of drug dispensing error and rational drug use index,etc. RESULTS：The information management pathway of our hospital included drug purchase,warehousing and keeping system,drug distribution management system,reasonable drug use monitoring information module,etc. It realized automatic generation and issue of purchase plan,acceptance bar code of drug warehousing,real-time drug stocking and location changing,drug guarantee delivery in advance,window drug delivery and check barcode scanning, drug distribution quality information management, whole process temperature and humidity monitoring,unreasonable prescription after the event,in the event,in advance,early warning of drug use,real-time monitoring of drug use and administration of drugs for chronic diseases,etc. After the implementation of information management,the time of drug warehousing invoice input and drug stocking were shortened. Among drug dispensing error,the percentage of type error decreased from 0.005 2% during Jun.-Dec. 2015 to 0.001 6% during Jan.-Jun. 2016;that of number error decreased from 0.006 9% to0.001 6%;that of other error dropped to zero. During 2014-2016,the ratio of drug cost to treatment cost decreased gradually;those of inpatient were 26.62%, 24.91%, 24.36%, respectively; those of outpatient were 44.06%, 42.10%, 41.32%,respectively. Utilization rates of antibiotics in the inpatients decreased gradually, and were 44.82%, 44.14%, 43.91%,respectively. CONCLUSIONS：Information construction plays an important role on hospital pharmacy,can effectively improve work efficiency,reduces medication error and promotes rational drug use.