基于SWOT分析构建住院药房拆零口服药品闭环管理体系及效果评价  

Construction and effectiveness evaluation of a closed-loop management system for dispensed oral drugs in the inpatient pharmacy based on SWOT analysis

作　　者：王甲 葛卫红 徐瑞娟 钱珊珊 宋雪敏 盛香玲 吴斌 李俐 WANG Jia;GE Weihong;XU Ruijuan;QIAN Shanshan;SONG Xuemin;SHENG Xiangling;WU Bin;LI Li(Xuzhou Medical University Drum Tower Clinical College,Jiangsu Xuzhou 221004,China;Dept.of Pharmacy,Nanjing Drum Tower Hospital,Nanjing 210009,China)

机构地区：[1]徐州医科大学鼓楼临床学院,江苏徐州221004 [2]南京鼓楼医院药学部,南京210009

出　　处：《中国药房》2025年第4期401-406,共6页China Pharmacy

基　　金：江苏省药学会-恒瑞医院药学基金科研项目(No.H202038);南京大学中国医院改革发展研究院课题项目;南京鼓楼医院医学发展医疗救助基金会资助项目(No.NDYGN-2023006)。

摘　　要：目的提高住院药房拆零口服药品管理工作效率和质量,保障患者用药安全。方法运用SWOT(优势、劣势、机会、威胁)分析法对我院住院药房拆零口服药品闭环管理体系构建的内部优势与劣势、外部机会和威胁进行分析,并提出完善策略。结果与结论我院成功构建了住院药房拆零口服药品来源可查、去向可追、责任可究的精细化全程闭环可追溯管理体系。该体系应用后,拆零药品信息登记率与登记内容正确率均为100%,2024年同期的超期药品品种占比较2020年3月下降77.78%,库存量较2020年第1季度降低29.50%,每床备药量较2020年第1季度下降了32.14%;2023年同期的岗均工作量较2019年提高了49.09%,调配正确率达100%,质控问题改善率较2021年提高了25.25%。该体系有效提高了住院药房拆零口服药品管理的安全性和准确性。OBJECTIVE To improve the efficiency and quality of dispensed oral drug management in the inpatient pharmacy,and ensure the safety of drug use in patients.METHODS SWOT(strength,weakness,opportunity,threat)analysis method was used to analyze the internal strengths and weaknesses,as well as the external opportunities and threats in the construction of a closed-loop management system for dispensed oral drugs in the inpatient pharmacy of our hospital,and propose improvement strategies.RESULTS&CONCLUSIONS A refined,full-process,closed-loop traceability management system for dispensed oral drugs in the inpatient pharmacies was successfully established,which is traceable in origin,trackable in destination,and accountable in responsibility.After the application of this system,the registration rate of dispensed drug information and the correctness rate of registration content both reached 100%.The proportion of overdue drug varieties in the same period of 2024 decreased by 77.78%compared to March 2020,the inventory volume decreased by 29.50%compared to the first quarter of 2020,the per-bed medication volume decreased by 32.14%compared to the first quarter of 2020;the average workload per post in the same period of 2023 increased by 49.09%compared to 2019,the dispensing accuracy rate reached 100%,and the improvement rate of quality control problem increased by 25.25%compared to 2021.This system effectively improves the safety and accuracy of dispensed oral drug management in the inpatient pharmacy.

关 键 词：拆零口服药品 单剂量调配 住院药房 SWOT分析 闭环管理 信息化管理 

分 类 号：R952[医药卫生—药学]