特殊管理类药品的专用账册信息化管理实践  

Practice of information management of special accounts for drugs under special management categories

作　　者：江鑫 梁高鑅 林珍珍 郭君芬 钟勤龙 蒋程[4] JIANG Xin;LIANG Gaoheng;LIN Zhenzhen;GUO Junfen;ZHONG Qinlong;JIANG Cheng(Office of Drug Clinical Trial Organisation,Wenling Hospital of Traditional Chinese Medicine,Wenling 317500,Zhejiang Province,China;School of Pharmacy,East China University of Science and Technology,Shanghai 200237,China;Department of Pharmacy,Wenling Hospital of Traditional Chinese Medicine,Wenling 317500,Zhejiang Province,China;Zhejiang Institute of Traditional Chinese Medicine,Tongde Hospital of Zhejiang Province,Hangzhou 310012,China)

机构地区：[1]温岭市中医院GCP办公室,浙江温岭317500 [2]华东理工大学药学院,上海200237 [3]温岭市中医院药剂科,浙江温岭317500 [4]浙江省立同德医院/浙江省中医药研究院,杭州310012

出　　处：《药学前沿》2025年第3期485-490,共6页China Pharmacist

基　　金：国家自然科学基金青年科学基金项目(82104383);浙江省医药卫生科技计划项目(2020KY1062)。

摘　　要：目的探索通过信息化改造提升特殊管理药品(包括毒性药品、疫苗、麻醉药品、第一类精神药品及第二类精神药品)专用账册的管理效率,以减轻药师工作负担,增强差错防范,优化患者服务。方法通过在医院信息系统中开发专用账册程序,使麻醉药品、精神药品、毒性药品、放射性药品等特殊管理类药品专用账册操作流程信息化,并评价前后的工作效率、做账不良事件发生率、人力资源及物资节约情况。结果信息化后药师做账时间显著缩短(P<0.001);做账不良事件降至0次/月,每月节约药师人力约4个班次,提升了药师满意度(P<0.001),并节约了纸张使用。结论特殊药品专用账册的信息化管理模式科学、高效、可行,有利于药师资源的优化配置及升级转型。Objective To improve the management efficacy of specialized account books for controlled substances,including toxic drugs,vaccines,anesthetic drugs,class Ⅰ psychotropic drugs and class Ⅱ psychotropic drugs through informatization,reduce the administrative burden on pharmacists,bolster error prevention mechanisms,and refine patient-centric services.Methods A bespoke software module was integrated into the hospital’s information system to digitize the management of specialized account books for controlled substances such as anesthetic drugs,psychotropic drugs,toxic drugs,radioactive drugs,etc.A comparative analysis was conducted to evaluate the work efficiency,incidence of accounting adverse events,human resource utilization and material conservation before and after the informatization.Results After informatization,the accounting time of pharmacists has significantly shortened(P﹤0.001).Accounting adverse events reduced to 0 per month,pharmacist manpower saved approximately 4 shifts per month,pharmacist satisfaction has been improved(P﹤0.001),and paper usage was saved.Conclusion Information management mode of special account books for special drugs is scientific,efficient and feasible,and is beneficial for optimizing the allocation and upgrading transformation of pharmacist resources.

关 键 词：毒性药品 疫苗 麻醉药品 第一类精神药品 第二类精神药品 特殊管理类药品 专用账册 信息化 

分 类 号：R95[医药卫生—药学]