综合性医院麻醉精神药品药学服务体系的构建效果

Effect of constructing anesthetic and psychopharmaceutical service system in general hospitals

目的探讨综合性医院麻醉精神药品药学服务体系的构建及应用效果。方法参照中国麻醉精神药品管理原则,结合江苏省苏北人民医院药学部实际情况,构建麻醉精神药品药学服务体系,选择构建前1年内(2018年9月1日至2019年9月1日)开具的116例患者的麻醉精神药品处方,记为实施前;选择构建后1年内(2020年1月1日至2021年1月1日)开具的124例患者的麻醉精神药品处方,记为实施后。比较实施前后麻醉精神药品发放、保管的规范性,药品处方周转时间以及治疗中药物处方相关问题发生率。结果实施后麻醉精神药品发放规范评分和保管规范评分均高于实施前(P<0.01);实施后麻醉精神药品处方各季度周转时间和平均周转时间均短于实施前(P<0.01);实施后麻醉精神药品相关问题总发生率低于实施前(P<0.01)。结论麻醉精神药品药学服务体系实现系统化、信息化管理,有效提高麻醉精神药品发放、保管的规范性和管理效率,使患者用药更趋合理性。

Objective To explore the construction and application effect of anesthetic and psychopharmaceutical service system in general hospitals.Methods According to the management principles of anesthetic and psychotropic drugs in China,combined with the actual situation of the Department of Pharmacy,Subei People’s Hospital of Jiangsu Province,the anesthetic and psychotropic service system was constructed,the anesthetic and psychotropic drug prescriptions of 116 patients who were prescribed within one year before(September 1,2018 to September 1,2019)the construction were selected and recorded as pre-implementation,and the anesthetic and psychotropic drug prescriptions of 124 patients who were prescribed within one year after(January 1,2020 to January 1,2021)the construction were selected and recorded as the post-implementation.The standardization of distribution and storage of narcotic psychotropic drugs before and after implementation,drug prescription turnover time,and the incidence of drug prescription related problems during treatment were compared.Results After the implementation,the scores of the distribution and custody practices of narcotic psychotropic drugs were higher than those before the implementation(P<0.01).The quarter turnaround time and average turnaround time of narcotic psychotropic drugs prescription after implementation were shorter than before implementation(P<0.01).The total incidence of problems related to narcotic and psychotropic drugs prescription after the implementation was lower than before the implementation(P<0.01).Conclusion The anesthetic and pharmaceutical psychotropic service system realizes systematic and information-based management,effectively improves the standardization and management efficiency of the distribution and storage of anesthetic psychotropic drugs,and make patients’medication more reasonable.