医疗机构处方药品外配与使用管理专家共识  

Expert Consensus of the Management of External Dispensing and Usage of Prescription Drugs in Medical Institutions

作　　者：中国药师协会药学服务创新工作委员会 姜玲[2] 王家伟[3] 何金汗 黄品芳[5] 刘东[6] 刘皈阳 史天陆 王永庆[8] 张健[9] 卢今 苏丹 The Working Committee of Pharmacy Innovation Services of Chinese Pharmacists Association

机构地区：[1]不详 [2]中国科学技术大学附属第一医院(安徽省立医院) [3]首都医科大学附属北京同仁医院 [4]四川大学华西医院 [5]福建医科大学附属第一医院 [6]华中科技大学同济医学院附属同济医院 [7]中国人民解放军总医院第四医学中心 [8]江苏省人民医院 [9]上海交通大学医学院附属新华医院

出　　处：《医药导报》2025年第2期169-175,共7页Herald of Medicine

摘　　要：目的进一步规范我国医疗机构处方药品外配与使用的全过程管理,加强医疗机构药品供应保障,推动外配药品的临床合理使用与科学管理,贯彻医药行业作风建设要求,切实保护患者合法权益。方法通过收集调查问卷并广泛征求专家意见,编写组对处方药品外配的现状和问题进行了调研分析,形成共识意见。结果共识制定27条推荐意见,涵盖处方外配的定义、组织管理与制度建设、处方与审方权限管理、外配药品处方开具与使用管理、监测与评价、社会药房管理、培训与沟通及患者隐私保护等八个方面,明确处方药品外配全过程的规范化管理措施。结论该共识为处方药品外配的药学管理提供重要的参考依据,有助于提升外配药品服务的专业性和全面性,保障患者用药安全,并为整体医疗质量和安全的提升提供支持。Objective To standardize the entire process of external dispensing and usage of prescription drugs in medical institutions in China,to strengthen drug supply security,to promote the rational and scientific use of the external dispensing of prescription drugs,to uphold the standards of the pharmaceutical industry,and to effectively protect patients'legal rights.Methods Based on survey responses and extensive expert consultation,the drafting team analyzed the current state and challenges of external dispensing of prescription drugs and developed consensus recommendations.Results The consensus outlines 27 recommendations covering eight areas:the definition of external prescription dispensing,organizational management and system construction,prescription and review authority,the management of the dispensing and use of external prescriptions,monitoring and evaluation,external pharmacy management,training and communication,and patient privacy protection.These recommendations establish standardized management measures throughout the entire process of prescription medication dispensing.Conclusions This consensus provides an essential reference for the pharmaceutical management of the dispensing of external prescriptions,enhancing the professionalism and comprehensiveness of services of the external prescriptions,ensuring patient medication safety,and supporting overall improvements in healthcare quality and safety.

关 键 词：处方药品外配 药品使用管理 专家共识 

分 类 号：R954[医药卫生—药学]