我院近效期药品产生原因调查分析及解决措施探讨
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摘要
通过收集成都市郫都区人民医院门诊和住院西药房2017年1～12月登记的近效期药品资料进行统计分析,确定改善重点是注射剂和口服制剂,且近效期注射剂中重点管理急抢救注射剂药品。通过从药房人员、方法、设备、材料、医师5个方面解析导致近效期药品过多的原因,并进行原因分析问卷调查,得出导致近效期药品过多最主要的5种原因:个别科室申请的药品未及时使用或使用率较低;拆零药品不易管理,疏于检查效期;个别药品更换包装或厂家致少量剩余药品调配不出去;未及时检查近效期药品;急抢救药品使用频率低,管理欠佳和个别药物更新周期长。依据现状和原因分析,从完善管理制度、强化具体管理和加强教育培训三方面进行解决措施探讨,旨在减少近效期药品的产生,保证药品质量,确保临床用药安全,避免药品资源浪费。
Through collecting the data of the nearly valid drugs registered in the Outpatient and Hospitalized Pharmacy Department of Pidu District People′s Hospital of Chengdu City from January to December 2017 to analyze, it is determined that the key improvement is the injection and oral preparation, and the key management of the injection in the nearly valid is to manage the emergency injection preparation. This paper analyzes the causes leading to so many nearly valid drugs on pharmacy personnel, methods, equipment, materials and physicians five aspects, and the cause analysis questionnaire is carried out. The five main causes leading to so many nearly valid drugs: the drugs applied in individual clinical department are not used in time or the use rate is low; the dismantling drugs are not easy to manage; a few drugs for replacing packages or manufacturers leading to have a small amount of residual drugs not to be dispensed out;the nearly valid drugs are not timely inspected; the low use rate and poor management of emergency medicine; a long period of renewing of individual drug. According to the analysis of the present situation and causes, this paper discusses the measures in three aspects on improving the management regulations, strengthening the specific management and strengthening the education and training of relevant personnel, aiming at reducing the production of the nearly valid drugs, ensuring the quality of the drugs, ensuring the safety of the clinical medication and avoiding the waste of the drug resources.
Through collecting the data of the nearly valid drugs registered in the Outpatient and Hospitalized Pharmacy Department of Pidu District People′s Hospital of Chengdu City from January to December 2017 to analyze, it is determined that the key improvement is the injection and oral preparation, and the key management of the injection in the nearly valid is to manage the emergency injection preparation. This paper analyzes the causes leading to so many nearly valid drugs on pharmacy personnel, methods, equipment, materials and physicians five aspects, and the cause analysis questionnaire is carried out. The five main causes leading to so many nearly valid drugs: the drugs applied in individual clinical department are not used in time or the use rate is low; the dismantling drugs are not easy to manage; a few drugs for replacing packages or manufacturers leading to have a small amount of residual drugs not to be dispensed out;the nearly valid drugs are not timely inspected; the low use rate and poor management of emergency medicine; a long period of renewing of individual drug. According to the analysis of the present situation and causes, this paper discusses the measures in three aspects on improving the management regulations, strengthening the specific management and strengthening the education and training of relevant personnel, aiming at reducing the production of the nearly valid drugs, ensuring the quality of the drugs, ensuring the safety of the clinical medication and avoiding the waste of the drug resources.
引文
[1]刘朋,梁晓丽,王芙荣,等.医院药房药品的效期管理[J].临床药物治疗杂志,2011,3(9):59-61.
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[8]张卫,秦琼,蔡冬明.自动化药房近效期药品管理体系的建设与成效分析[J].抗感染药学,2016,13(1):121-123.
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[11]周升铭,黄瑞红,龚炜.根据三级医院评审要求谈药房药品有效期管理中存在的问题与对策[J].海峡药学,2016,28(2):264-266.
[12]刘新生,倪玲芳.医院常用注射剂的储存与养护管理[J]中国医药指南,2017,15(23):294-296.
[13]金岩,腾永和.PDCA循环在药品效期管理中的应用探讨[J].实用药物与临床,2016,19(1):126-128.
[14]王希翠.近效期预警机制在急救药品管理中的应用[J].中国医药指南,2013,11(4):694-695.
[15]崔淑敏.病区药房药品有效期的管理与体会[J].中国卫生产业,2017,14(5):91-92.
[16]杨翠娣.医院药房近效期药品的管理[J].中国药物经济学,2015,10(5):188-189.
[17]陈健,李嘉盈,王国栋.运用PDCA循环法加强近效期药品管理的实践[J].中国药物经济学,2014,9(S1):257-258.
[18]钱亚平,缪亚琴.PDCA循环在药房药品效期管理工作中的应用探究[J].中国卫生产业,2018(12):16-17.
[19]谈超,孙继敏,江小四,等.PDCA循环在病区药品规范化管理中的应用[J].中国药房,2013,24(41):3888-3890.
[20]王蕾,陈华彪,叶根深,等.品管圈活动在药房减少近效期药品工作中的应用[J].淮海医药,2015,33(2):180-181.
[2]陈龙.品管圈在减少医院门诊药房近效期药品中的应用[J].临床合理用药,2017,10(12A):177-178.
[3]代义.医院药品有效期管理探讨[J].中国药事,2015,29(5):542-545.
[4]武晓霞.医院药房近效期药品的管理措施探讨[J].世界最新医学信息文摘:电子版,2016,16(93):188.
[5]欧玉龙.门、急诊药房药品有效期管理研究[J].世界最新医学信息文摘:电子版,2017,17(91):254-255.
[6]徐先顺.“色标管理”在我院效期药品管理中的应用[J]影响研究与医学应用,2017,1(1):250-251.
[7]许燕玉,陈巧辉,黄秋波,等.摆药机药品的效期管控[J]中国药业,2014,23(18):78-79.
[8]张卫,秦琼,蔡冬明.自动化药房近效期药品管理体系的建设与成效分析[J].抗感染药学,2016,13(1):121-123.
[9]黄世锋,陈进,代文婷.药品有效期的规范化管理[J].现代医药卫生,2011,27(19):3021-3022.
[10]马晓雯.我院门诊药房拆零药品管理中存在的问题与对策[J].中医药管理杂志,2017,25(4):69-70.
[11]周升铭,黄瑞红,龚炜.根据三级医院评审要求谈药房药品有效期管理中存在的问题与对策[J].海峡药学,2016,28(2):264-266.
[12]刘新生,倪玲芳.医院常用注射剂的储存与养护管理[J]中国医药指南,2017,15(23):294-296.
[13]金岩,腾永和.PDCA循环在药品效期管理中的应用探讨[J].实用药物与临床,2016,19(1):126-128.
[14]王希翠.近效期预警机制在急救药品管理中的应用[J].中国医药指南,2013,11(4):694-695.
[15]崔淑敏.病区药房药品有效期的管理与体会[J].中国卫生产业,2017,14(5):91-92.
[16]杨翠娣.医院药房近效期药品的管理[J].中国药物经济学,2015,10(5):188-189.
[17]陈健,李嘉盈,王国栋.运用PDCA循环法加强近效期药品管理的实践[J].中国药物经济学,2014,9(S1):257-258.
[18]钱亚平,缪亚琴.PDCA循环在药房药品效期管理工作中的应用探究[J].中国卫生产业,2018(12):16-17.
[19]谈超,孙继敏,江小四,等.PDCA循环在病区药品规范化管理中的应用[J].中国药房,2013,24(41):3888-3890.
[20]王蕾,陈华彪,叶根深,等.品管圈活动在药房减少近效期药品工作中的应用[J].淮海医药,2015,33(2):180-181.