Page 111 - 《中国药房》2022年24期

·药师与药学服务·

住院药房药品调剂流程信息化优化实践
Δ

#
＊
粟 林 ，李拓颖，赖翔宇，刘 静，胡小刚（重庆大学附属肿瘤医院药学部，重庆 400030）
中图分类号 R952 文献标志码 A 文章编号 1001-0408（2022）24-3045-04
DOI 10.6039/j.issn.1001-0408.2022.24.20

摘 要 目的 为住院药房服务能力及管理质量提升提供参考。方法 对临床科室进行调查访谈，收集我院住院药房药品调剂流
程中存在的问题，结合住院药房内部自查结果，绘制现存问题的要因分析鱼骨图，应用PDCA管理方法，从人员、机器、环境、方法、
药品5个角度进行要因总结，对其中的可干预要因进行改进；收集相关数据，从工作效率和服务满意度2个维度对优化结果进行评
价。结果 我院对口服分零药品、临时医嘱、麻醉和精神药品、长期医嘱、退药5个流程进行了优化，新增前置审方功能，利用二维
码技术在医院信息系统中增加了“处方加码”“扫码定位”“扫码复核”“扫码接收”“扫码出签”“一键摆药”“状态可视化”等信息化功
能，并将长期医嘱由之前的按科室逐一调剂优化为按药品类别调剂等。相较于优化前，摆药单打印时间、长期医嘱调剂时间、退药
时间、麻醉和精神药品出签时间均显著缩短，药品漏送与漏摆次数、护士电话询问药品调剂情况的次数均显著减少，护士和药师的
满意率分别提高了26.32%和37.50%。结论 经流程梳理结合信息化优化，我院住院药房调剂流程进一步趋向精细化和标准化，实
现了服务质量和效率双提升。
关键词 住院药房；信息化；调剂流程；服务质量；工作效率；二维码

Informational optimization practice of inpatient pharmacy dispensing processes
SU Lin，LI Tuoying，LAI Xiangyu，LIU Jing，HU Xiaogang（Dept. of Pharmacy， Chongqing University Cancer
Hospital， Chongqing 400030， China）

ABSTRACT OBJECTIVE To provide reference for improving pharmacy service capabilities and management quality.
METHODS By interviewing clinical department， the problems in the drug dispensing process of inpatient pharmacy in our hospital
were collected； combined with the internal self-inspection results of the inpatient pharmacy， the fishbone diagram for the cause
analysis of the existing problems were drawn. PDCA management method was used to summarize the main factors from five
perspectives of personnel， machines， environment， methods and drugs， and improve the intervenable main factors； relevant data
were collected and the optimization results were evaluated from two dimensions of work efficiency and service satisfaction.
RESULTS The five processes of our hospital were optimized， such as dismounted oral drugs， temporary medical orders， narcotic
and psychotropic drugs， long-term medical orders and drug withdrawal， and the function of prescription pre-review was newly
added. Information functions such as “putting code for prescription” “positioning by scanning code” “reviewing by scanning code”
“receiving by scanning code” “issuing by scanning code” “one-click dispensing” and “status visualization” had been added to the
hospital information system using QR code technology， and long-term medical orders had been optimized from the previous
dispensing by department to dispensing by drug category. Compared with before optimization， the printing time of dispensing lists，
the time of long-term medical order dispensing， the time of drug withdrawal and the time of issuing anesthetic drug were shortened
significantly； but the times of missed delivery or dispensing， the times of calling to inquire about drug dispensing by nurse were all
decreased significantly； satisfaction rate of nurses and pharmacists increased by 26.32% and 37.50%， respectively.
CONCLUSIONS Through process sorting and informational optimization， the inpatient pharmacy dispensing processes of our
hospital are further refined and standardized， achieving the double improvement of service quality and efficiency.
KEYWORDS inpatient pharmacy； information； dispensing process； service quality； work efficiency； QR code

Δ 基金项目 重庆市首批临床药学重点专科建设项目（No.渝卫办 住院药房主要负责院内患者的日常药品供应保障。
发〔2020〕68号）；重庆市科卫联合医学科研项目（No.2021MSXM171） 由于住院药房同时负责多个临床科室的住院患者，需要
＊第一作者 主管药师，硕士。研究方向：临床药学肿瘤专科、医院 与多个临床科室进行一对多的工作对接，因此住院药房
药学。电话：023-65070545。E-mail：275669331@qq.com
调剂工作具有工作量大、药品种类多、业务流程繁杂和
# 通信作者 主管药师，硕士。研究方向：分子药理与临床、医院药
[1]
学。电话：023-65359279。E-mail：hxgcq1987@126.com 容易出现差错等特点 。要取得良好的住院药房调剂管

中国药房 2022年第33卷第24期 China Pharmacy 2022 Vol. 33 No. 24 · 3045 ·