现有药品包装存在问题与医院调剂需求探讨  

Discussion on the Problems of Drug Package and the Needs of Drug Dispensing in Hospital

作　　者：沈烽[1] 张健[1] 黄源[1] 吴颖坤[1] 金樑[1] 张青[1] 

机构地区：[1]上海交通大学医学院附属新华医院,上海200092

出　　处：《中国药房》2013年第9期775-777,共3页China Pharmacy

摘　　要：目的:为使药品包装更符合目前医院信息化、自动化管理需求提供参考。方法:对我院在用药品从整箱体积与质量、同一生产企业的药品内外包装形状、有无中包装、有无药品安全监管条形码(唯一码)等方面进行统计分析,探讨其对医院调剂需求的影响并提出相关建议。结果与结论:整箱药品的质量与材质将直接影响药品出厂后B型(出厂后产生的)药品破损问题的发生;外包装向轻便、小巧方向发展;对于同一生产企业的外包装形状相似的药品,可以采用不同外观形状或增加明显标识来区分;无中包装药品将降低医院药师药品配发效率;整箱、中包装、小包装药品无安全监管码将直接影响药师对药品的验收、出库物流效率及窗口药品配发的安全。建议将新引进药品的包装情况纳入药事会作为引进新药的重要依据;大型医院门/急诊药房可引进智能化整盒自动调配设施,同时结合电子化药品物流进行调配。OBJECTIVE：To provide reference for meeting the needs of informatization and automation management of drug package in hospital.METHODS：Drug use of our hospital was analyzed statistically in the following aspects,including volume and weight,internal and external package shape of drugs from same manufacturers,medium-scale packaging and security supervision barcode（uniqueness of barcode）.Effects of them on the requirements of hospital dispensing were investigated and relevant suggestions were put forward.RESULTS CONCLUSIONS：The weight and material of drug packaging directly influence the quality of type B drug breakage（after manufactured）;external package tends to be portable and smart;similar external package shape of drugs from same manufacturers can be identified by different appearance and obvious marker.Drug without medium-scale packaging causes decrease in efficiency of the drug dispensing.Full-container,medium-scale and small-scale packaging without security supervision barcode directly harm acceptance check,delivery and the safety of drug dispensing.It is suggested to regard package of new drugs as important evidence for new drug introduction by pharmaceutical association;intelligent autonomous dispenser can be introduced in out-patient and emergency pharmacy of large-scale hospital.Drug dispensary is combined with electronic pharmaceutical supplies.

关 键 词：药品包装 药品物流 药品质量 药品安全监管码 药品破损 问题 医院调剂 

分 类 号：R95[医药卫生—药学]