北京某三甲医院药品条码使用现状调查

Investigation on the current situation of the use of drug barcode in a third-class hospital in Beijing

目的:调查北京积水潭医院回龙观院区(以下简称我院)药品条码标识情况。方法:选取我院2019年临床常用药品,应用Excel软件,统计药品最小包装上有条码的药品种类及数量,并分别按批准文号、作用机理、剂型、医保类型、是否为处方药以及特殊管理药品,计算含有条码的药品数量及比例。结果:我院临床常用药品共1387个品规,其中有商品码的药品为1045个品规(占比75.3%),有电子监管码的药品为1047个品规(占比75.5%)。属于高风险的生物制品电子监管码标识率为100%,患者使用率较高的中成药商品码标识率为95.2%;主要作用于内分泌系统等药品的电子监管码(56.9%)和商品码标识率(59.1%)较低;麻醉药品、第一类和第二类精神药品等特殊管理药品的电子监管码标识率为100%。结论:我院药品条码的使用和监督管理仍存在一些问题,药师应参与条码系统建设并在采购、贮存、应用和管理过程中用好条码,使全程可追溯体系不在使用终端断链。

Objective:To investigation of drug barcode identify situations in Beijing Jishuitan Hospital Huilongguan Branch(hereinafter referred to as"our hospital").Methods:The clinical drugs commonly employed in our hospital in 2019 were selected,and the types and quantities of the drugs with drug barcode on the minimum package of the drugs were analysed by Excel software.The number and proportion of the drug containing the electronic regulatory code and commodity code were calculated according to the approval number,action mechanism,dosage form,medical insurance type,whether they were presc ription drugs or special managed drugs.Results:There were 1387 drug products commonly used in our hospital-of which 1045 items of dugs(75.3%)had commodity codes and 1047 items of drugs(75.5%)had electronic regulatory codes.The identification rate of the electronic regulatory code of the biological product belonging to the high-risk product was 100%,and the identification rate of the proprietary Chinese medicine commodity code with high utilization rate was 95.2%.The identification rate of the electronic regulatory code(56.9%)was low,as well as the identification rate of the commodity code(59.1%)of the drugs mainly applied to endocrine system.The identification rate of the electronic regulatory codes for special management drugs,such as stupefacient,category I and categoryⅡof psychotropic substances was 100%.Conclusion:there are still some problems in the use and supervision of drug barcode in our hospital.Pharmacists should participate in the barcode construction system and make a good use of barcode in procurement,storage,application and management process.The traceability of the supply chain should not be off at the endpoint.