基于全周期视角的医院药品追溯码管理模式构建及应用OA

OBJECTIVE To explore and establish a full-cycle management model for drug traceability codes that aligns with national policy requirements and the practical needs of healthcare institutions,thereby enhancing the refinement of drug management and the level of medication safety.METHODS A tripartite strategy integrating"hardware deployment,system transformation,and process re-engineering"was adopted.This involved the introduction of intelligent identification devices(personal digital assistant,high-definition industrial reader),the modification of the hospital information system interface,and the re-engineering of workflows(drug warehousing,dispensing and distribution,drug withdrawal,uploading to the insurance platform)to achieve comprehensive,informatized collection and association of drug traceability codes throughout all stages.RESULTS A full-cycle management model for drug traceability codes was successfully established,realizing the goals of making drugs"traceable to their source,trackable in their distribution,and accountable in their responsibility".The patient waiting time for medication dispensing before and after the implementation was[3.08(1.67,5.58)]min and[3.28(1.77,5.98)]min,respectively.Among them,the patient waiting time under the pre-preparation mode was[3.60(2.13,6.35)]min and[3.50(2.03,6.30)]min,respectively;the patient waiting time under the real-time mode was[2.05(0.83,4.03)]min and[2.78(1.18,5.38)]min,respectively;the number of dispensing errors was 3,0,respectively;the staffing of relevant positions had not been increased.CONCLUSIONS The drug traceability code management model constructed from a full-cycle perspective effectively meets national policy requirements.It provides data support for refined hospital management and offers solid technical and procedural safeguards for ensuring patient medication safety and strengthening medical insurance fund supervision,demonstrating practical value.