文章摘要
药品货位编码在武汉某新型冠状病毒肺炎定点收治医院的管理与应用
Drug location coding management in Wuhan designated hospital for COVID-19
投稿时间:2020-04-19  修订日期:2020-06-24
DOI:
中文关键词: 新型冠状病毒肺炎  药品货位编码  药品管理
英文关键词: Corona Vircus Disease 2019(COVID-19)  drug location code  drug management
基金项目:泰康同济(武汉)医院科研项目(TKTJKY2020081)
作者单位邮编
郭晋敏 中国人民解放军联勤保障部队第九六〇医院 250031
张莉* 中国人民解放军联勤保障部队第九六〇医院 250031
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中文摘要:
      目的:作为新型冠状病毒肺炎疫情期间的新组建医院药剂科,总结和思考利用药品货位编码进行药学保障的经验与不足,为突发公共卫生事件等紧急情况下新组建医院药学服务的开展提供经验参考。方法:在武汉某新型冠状病毒肺炎定点收治医院,采用四维立体编码法编制货位号编码,结合医院信息管理系统,用于药品的入库、出库和盘库。通过记忆字段假设法,比较药师在货位管理前后需记忆的字段数量;选择6名药师作为试验者,随机分为2组,在不同任务阶段(初期上岗第7 d、中期第27 d、后期第47 d),观察与统计对照组(附无货位编码的出库单)和试验组(附有货位编码的拣货单)完成目标调配任务所需时间和调配差错率;比较该管理手段使用前(上岗第2 d)、后(上岗第5 d),20名药师完成药品盘库所需时间和盘库差错率。结果与结论:药品货位编码管理可提高药师的调配和盘库效率,降低调配差错风险。采用药品货位编码后,药师所需记忆字段由624个降至60个,盘库时间由3.17 h缩短至1.33 h,盘库差错率由7.98%降至1.83%。在不同任务阶段,试验组的调配时间均显著低于对照组(初期95.20 vs. 31.33min,中期71.67 vs. 22.67min,后期69.67 vs. 22.67min),在任务初期经过货位编码管理的调配差错率显著降低(1.45% vs. 5.80%)。同时,反思药品货位编码中的管理漏洞,如编制原则中“药品总数”设计不合理、高危/精麻/易混淆及近效期等特殊药品的编制原则缺失、机动码和应急预案的缺失,并提出相应的解决策略,以期为突发公共卫生事件下药品的信息化管理提供借鉴。
英文摘要:
      Objective: To analyze the experience and insufficiency of using pharmaceutical location encoding for pharmaceutical care in a newly established hospital pharmacy department for Wuhan Designated Hospital for COVID-19, to provide experience reference for the newly established hospitals in emergency situations such as public health emergencies. Methods: In Wuhan designated hospital for COVID-19, four-dimensional encoding method was used for coding the location number. The method, combined with the hospital information management system, was used for the storage, outgoing and inventory of drugs. Through the method of memory field hypothesis, the number of fields that pharmacists need to remember before and after location management was compared. Six pharmacists were randomly divided into two groups, control group holding the warehouse out list without location coding,and experimental group holding the picking list with location coding. At different task stages (the 7th day of initial work, the 27th day of middle work and the 47th day of later work), the time of pharmacists to complete the target deployment task and allocation error rate were observed. The time needed for 20 pharmacists to complete the drug inventory and the inventory error rate were compared before (2d) and after (5d) location code management.Results and Conclusion: Drug location coding management can improve the efficiency of drug allocation and inventory, and reduce the risk of allocation errors.After using drug location coding, the number of memory fields needed by pharmacists decreased from 624 to 60, the inventory time reduced from 3.17h to 1.33h, and the inventory error rate decreased from 7.98% to 1.83%. In different task stages, the deployment time of the experimental group was significantly lower than that of the control group(95.20 min vs. 31.33 min in the early stage,71.67 min vs. 22.67 min in the middle stage,69.67 min vs. 22.67 min in the later stage), and the deployment error rate of the storage location coding management was significantly reduced at the beginning of the task(1.45% vs. 5.80%).At the same time, we reflect on the management loopholes in the drug location coding, such as the unreasonable design of "total drugs", the lack of preparation principles of special drugs such as high-risk / fine anesthesia / easily confused and near effective period, the lack of mobile codes and emergency plans, and put forward corresponding solutions, in order to provide reference for the information management of drugs in public health emergencies.
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