批号追溯管理模式在智能化手术室麻醉药房中的应用与优化

Application and optimization of batch number traceability management mode in intelligent anesthesia pharmacy of operating room

目的在智能化手术室麻醉药房(以下简称“手麻药房”)中建立药品批号追溯管理模式,提高手麻药房批号追溯管理水平,保障手术用药安全。方法分析我院批号追溯管理模式在智能化手麻药房应用中出现的问题,实施优化措施,总结优化效果。结果针对加药轨道多个批号不兼容、自动化手麻柜(以下简称“手麻柜”)药品数量不足、区域补药时间较长、手麻柜出药稳定性较低、近效期药品管理繁琐等问题,我院实施了包括更改加药最小单位、调整药品基数和手术排班、优化补药出库单、统一调修手麻柜加药轨道、增加批号修正功能、完善近效期筛查功能和配置苏醒室手麻柜等措施,实现了加药轨道多个批号共存、手麻柜药品数量充足、区域补药时间缩短、手麻柜出药稳定性提高、近效期药品管理高效等效果。结论我院建立的智能化手麻药房批号追溯管理模式,完善了系统功能模块,优化了工作流程,增加了手麻柜的稳定性,提高了工作效率,实现了手术用药精细化管理。

OBJECTIVE To establish a drug batch number traceability management mode in intelligent anesthesia pharmacy of operating room,improve the management level of batch number traceability in anesthesia pharmacy of operating room and ensure the safety of surgical medication.METHODS The problems encountered in the application of batch number traceability management mode in intelligent anesthesia pharmacy of operating room were analyzed to implement the optimization measure and summarize the optimization effect.RESULTS In view of the incompatibility of multiple batch numbers on the dosing track,the insufficient number of drugs in the automated dispensing cabinet,the long replenishment time,the low stability of the automated dispensing cabinet,and the tedious management of drugs with a near-expiration period,the following measures were implemented,including changing the minimum unit of dosing,adjusting the drug base number and surgery schedule,optimizing the supplementary drug delivery order,repairing dosing tracks of the automated dispensing cabinet,adding the batch number correction function,improving the screening function of drugs with a near-expiration period,and configuring the automated dispensing cabinet in the recovery room.It realized the coexistence of multiple batch numbers on the dosing track,the sufficient number of drugs in the automated dispensing cabinet,the shortening of the replenishment time,the improvement in the stability of the automated dispensing cabinet,and the efficient management of drugs with a near-expiration period.CONCLUSIONS The batch number traceability management mode is established in intelligent anesthesia pharmacy of operating room in our hospital,which improves the system function module,optimizes the work process,increases the stability of the automated dispensing cabinet,improves the work efficiency,and realizes the refined management of surgical medication.