某兒童醫(yī)院門診藥房藥品追溯碼管理體系的構(gòu)建與實(shí)踐

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中圖分類號R952 文獻(xiàn)標(biāo)志碼A 文章編號 1001-0408（2025）14-1703-06

DOI10.6039/j.issn.1001-0408.2025.14.03

ABSTRACTOBJECTIVE To investigate the construction and practiceof a drug traceabilitycode management system in pediatrichospitals，providingareferenceforpromotingdrugtraceablitycodecollectioninhealthcareinstitutions.METHODS Takingtheoutpatientpharmacyofourhospitalastheresearchsubject，adrugtraceabiltycodemanagementsystemwasonstructed through theupgradeofthehospital informationsystem（HIS），processoptimization，andhuman-machinecollaborationmechanism. ThePDCA（plan-do-check-act）cycle management method wasappliedtocontinuouslyoptimizethissystem.Basedonoperational datafromMarch2024toFebruary2O25，thechangesinthecollctionrateofdrugtraceabilitycodeswereanalyzed，andthe diference in the average patient pickuptime，the average pharmacist dispensingtime，andthedispensing erorrate werecompared beforeandaftertheimplementationofthesystem.RESULTSIntheinitialperiodoftrialoperationofthedrugtraceabilitycode management system（June 2O24），the collection rate of drug traceability codes was 57.17% ，which subsequently improved to 93.52% byFebruary 2025 following processoptimization.Compared withthepre-implementation period（March-May 2024），there was no significant difference （ P>0.05 ） in the average patient pickup time during the stable run-in period（August-October 2024）； the overall average pharmacist dispensing time increased significantly （P<0.001 ），but the clinical significance of this increase 0 0.42s ）was limited；stratified analyses showed a significant increase in the average pharmacist dispensing time for prescriptions involving chronic disease multidrug combinations [ （23.29±6.83） svs. （17.87±3.64 ）s， P<0.001 ]；the dispensing error rate was reduced from 0.13‰ to 0.03‰ （ P=0.038 ）.CONCLUSIONS By adopting the strategy of“system reconstruction-process renginering-human-machinecollboration”，ourhospitalhassucessfullyestablishedadrug traceabilitycodemanagementsystem.While complying with national regulatory requirements，we havemaintained service efficiency and reduced the medication dispensing error rate.

KEYWORDS drug traceability code； outpatient pharmacy; pediatrics；information system；process optimization

藥品追溯碼是印制于藥品包裝盒上的唯一身份標(biāo)識（通常標(biāo)注為“藥品追溯碼”），可實(shí)現(xiàn)藥品全流程溯源，能有效防范騙保、倒賣藥品等違法行為[-2]，對保障藥品安全并助力智慧監(jiān)管具有重要意義[3。（剩余9034字）