Page 128 - 《中国药房》2023年9期
P. 128

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
                                                                                                        Δ


                                        #
                *
          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
   123   124   125   126   127   128   129   130   131   132   133