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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
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邱 壮 ,许 蕾,马晶晶,包健安(苏州市独墅湖医院药学部,江苏 苏州 215000)
中图分类号 R952 文献标志码 A 文章编号 1001-0408(2023)09-1142-05
DOI 10.6039/j.issn.1001-0408.2023.09.22
摘 要 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。
关键词 手术室麻醉药房;智能化;批号追溯管理;手术用药
Application and optimization of batch number traceability management mode in intelligent anesthesia
pharmacy of operating room
QIU Zhuang,XU Lei,MA Jingjing,BAO Jian’an(Dept. of Pharmacy, Suzhou Dushuhu Hospital, Jiangsu
Suzhou 215000, China)
ABSTRACT 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.
KEYWORDS anesthesia pharmacy of operating room; intelligent; batch number traceability management; surgical medication
传统手术室麻醉药品管理由麻醉医师、护士负责, 院开展了手术室麻醉药房(以下简称“手麻药房”)的建
缺乏有效的监管,存在管理漏洞。因此,近年来多家医 设,也取得了一定的成效 [1―3] 。药师负责手麻药房的主
要工作,将麻醉医师和护士从药品管理中解放出来,更
Δ 基金项目 江苏省研究型医院学会精益化用药-石药专项科研基 好地投入到手术医疗护理工作中去,在方便手术用药的
金项目(No.JY202137) 同时,改善了以往药品丢失、空安瓿遗失、计费错误、账
* 第一作者 药 师 ,硕 士 。 研 究 方 向 :药 理 学 。 电 话 :0512- 物不符等问题。但是,大多数手麻药房管理模式只能做
65955647。E-mail:1024756515@qq.com
# 通信作者 主任药师,硕士。研究方向:医院药学。电话:0512- 到药品数量的准确,无法精细到药品批号数量准确。尤
65955162。E-mail:clsx5430@126.com 其在药品追溯方面,大多采用账号登录或指纹识别的方
· 1142 · China Pharmacy 2023 Vol. 34 No. 9 中国药房 2023年第34卷第9期