住院药房麻醉药品和第一类精神药品智能信息化管理的实践效果分析

Practical Effect of Intelligent Information Management of Anesthetic Drugs and ClassⅠPsychotropic Drugs Management in Inpatient Pharmacy

目的:探讨该院住院药房基于医院信息系统(HIS)的麻醉药品和第一类精神药品(以下简称“麻精药品”)智能信息化管理的效果。方法:收集该院智能信息化管理前麻精药品处方、调剂、使用、空安瓿和废贴的回收等环节中存在的问题,绘制问题的要因分析鱼骨图,应用计划-执行-检查-处理(PDCA)管理方法,从设备、人员、药品、制度、反馈5个角度进行要因总结,对可干预的要因进行智能信息化建设。分别统计智能信息化管理前(2021年3—5月)、管理后(2022年3—5月)手术室麻精药品集中调剂时间、病区对麻精药品调剂质量的满意度、相关医务人员对麻精药品的管理意识和每月不规范不合理处方数。结果:该院通过新增HIS信息功能、麻精药品柜智能化、空安瓿和废贴回收登记程序化以及专项知识线上智能考核,最终实现住院药房麻精药品的高效管理。相较于智能信息化管理前,管理后手术室麻精药品集中调剂时间缩短了56.25%[从(62.40±3.86)min缩短至(27.30±2.10)min],病区对麻精药品调剂质量满意度提高了5.98%[从(86.90±1.58)%升至(92.10±2.80)%],相关医务人员对麻精药品的管理意识提高了9.08%[从(87.00±1.41)%升至(94.90±1.64)%],每月不规范不合理处方数降低了42.08%[从(60.00±5.92)张降至(34.75±5.76)张]。结论:基于智能信息化管理,该院住院药房麻精药品管理进入精细化管理模式,实现了药学服务质量和效率的双提升,提升了患者就医体验,保障了临床用药的便捷性和安全性。

OBJECTIVE:To probe into the effect of intelligent information management of narcotic drugs and classⅠpsychotropic drugs(hereinafter referred to as“anesthetic and psychotropic drugs”)based on the hospital information system(HIS)in inpatient pharmacy of the hospital.METHODS:Problems existing in the process of prescription,dispensing,using,recycling of empty ampoule and waste paste of anesthetic and psychotropic drugs in the hospital were collected,and the main causes of existing problems were analyzed by fish-bone diagram.Those causes were summarized from 5 perspectives of equipment,personnel,drugs,system and feedback by PDCA management method.Intelligent information construction was carried out on the main causes that can be intervened.The centralized dispensing time of anesthetic drugs in the operating room,satisfaction degree of the ward to the quality of anesthetic and psychotropic drugs dispensing,management awareness of related medical staff,and number of irregular and irrational prescriptions per month were collected respectively before(from Mar.to May 2021)and after(from Mar.to May 2022)intelligent information management.RESULTS:The efficient management of anesthetic and psychotropic drugs in inpatient pharmacy was obtained through the addition of HIS information function and intelligent drug cabinet,programmed registration of empty ampoule and waste patches and special knowledge online intelligent assessment.Compared with before intelligent information management,the time of centralized dispensing of anesthetic and psychotropic drugs in operating room was shortened by 56.25%[from(62.40±3.86)min to(27.30±2.10)min],the satisfaction of the ward on dispensing quality was increased by 5.98%[from(86.90±1.58)%to(92.10±2.80)%],the management awareness of related medical staff on anesthetic and psychotropic drugs was increased by 9.08%[from(87.00±1.41)%to(94.90±1.64)%],and the number of irregular and irrational prescriptions per month was decreased by 42.08%[from(60.00±5.92)prescriptions to(34.75±5.76)prescriptions].CONCLUSIONS:Based on intelligent information management,the management of anesthetic and psychotropic drugs in the hospital is transferred into the fine management mode,which has achieved the double improvement of pharmaceutical care quality and efficiency,improved the medical experience of patients,and ensured the convenience and safety of clinical medication.