麻醉药房药箱信息化闭环管理的实践

The Practice of Informationized Closed-loop Management of Medicine Boxes in the Anesthesia Pharmacy

目的探讨麻醉药房药箱闭环管理信息化建设的效果。方法以药箱为单位赋码,将手术麻醉药品以药箱为载体对其发放-使用-回收全过程实现信息化管理。结果麻醉药房药箱信息化闭环管理(对照组vs.干预组),在效率、经济和安全方面均得到了改善或提高。效率方面,用药时间[(7.4±0.64)vs.(2.3±0.24)]、还药时间[(6.3±0.80)vs.(3.3±0.46)]、术间加药时间[(5.94±0.79)vs.(1.28±0.35)]和术间加药频次(3.73±0.32)vs.(0.72±0.16)均减少,差异有统计学意义(P<0.05),每药箱每日平均使用次数由0.8次上升至1.25次;经济方面,收费误差率(15.17%vs.0.01%)和人力消耗(5.94±0.79 vs.1.28±0.35)均下降,差异有统计学意义(P<0.05);安全方面,药物过期次数(3 vs.0)下降;处方合格率(90.58%vs.100%)和药物的账物相符率(83.92%vs.95.04%)均上升,差异有统计学意义(P<0.05)。结论麻醉药房药箱信息化闭环管理模式的建立,优化了传统药箱管理的弊端,使麻醉药房药品管理更加规范化,提高医疗质量,保障围手术期用药安全,具有比较好的实践应用价值。

OBJECTIVE Exploring the effectiveness of closed-loop management informatics for anaesthesia pharmacy drug boxes.METHODS The drug box serves as a unit for assigning codes,and the entire process of issuing,using,and recalling surgical anaesthetic drugs was computerized and managed using the drug box as a carrier.RESULTS The efficiency,economy,and safety of closed-loop management of anaesthesia pharmacy drug box information technology(control group vs.intervention group)were improved or enhanced.The study found statistically significant reductions in medication administration time[(7.4±0.64)vs.(2.3±0.24)],medication return time[(6.3±0.80)vs.(3.3±0.46)],interoperative refill time[(5.94±0.79)vs.(1.28±0.35)],and interoperative refill frequency[(3.73±0.32)vs.(0.72±0.16)].The average number of daily uses per drug box increased from 0.8 to 1.25.The charge error rate decreased from 15.17%to 0.01%and the manpower consumption decreased from(5.94±0.79)to(1.28±0.35),P<0.05.The medication expiration rate decreased from 3 to 0.The prescription compliance rate increased from 90.58%to 100%and medication accountability increased from 83.92%to 95.04%(P<0.05).CONCLUSION The implementation of a closed-loop management system for anesthesia pharmacy drug boxes effectively addresses the limitations of traditional drug box management.This system ensures standardised drug management in anesthesia pharmacies,improves the quality of medical treatment,and guarantees the safety of perioperative medication.It has significant practical value.