Construction and application of specialized file management and risk warning system for narcotic drugs in medical institutions
- VernacularTitle:医疗机构麻醉药品专档管理及风险预警系统的构建和应用
- Author:
Pingxiu TANG
1
;
Qiang YANG
1
;
Xunyan ZHANG
1
;
Lin YUAN
1
Author Information
1. Dept. of Pharmacy，Suining Central Hospital，Sichuan Suining 629000，China
- Publication Type:Journal Article
- Keywords:
medical institutions;
narcotic drugs;
specialized file management;
risk warning;
cancer pain
- From:
China Pharmacy
2026;37(1):83-87
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To construct specialized file management and risk warning system for narcotic drugs， and promote the refined management of narcotic drugs in medical institutions. METHODS Through the rational medication management system， patient-indexed narcotic drug medication record information was integrated， pain assessment and rapid dose titration modules were constructed， and a prescription pre-review risk warning model was established. Statistical analysis was conducted on the number of drugs returned by patients， interventions for adverse events related to narcotic drug abuse， patient and physician satisfaction， and patient medication adherence before the system was constructed （January-July 2023） and after its stable operation （January-July 2024）. RESULTS After the construction of the system， the number of narcotic drugs returned by patients decreased， except for Morphine tablets. The number of interventions for adverse events related to narcotic drug abuse increased from 0 to 5 cases. The patients’ satisfaction with pain control increased from 46.25% to 67.50%， the proportion of patients with poor adherence decreased from 23.75% to 7.50%， and the overall satisfaction of physicians was 72.41%. CONCLUSIONS The construction of a specialized file management and risk warning system for narcotic drugs enables refined management of narcotic drugs， provides alerts for abnormal prescriptions， reduces patient stockpiling of narcotic drugs， allows timely detection and intervention of adverse events related to narcotic drug abuse， improves physician treatment efficiency and precision， and enhances patient pain control satisfaction and medication adherence.
