Construction and analysis on the implementation effect of an intelligent control system for narcotic drugs in hospital wards
10.3760/cma.j.cn114015-20210204-00154
- VernacularTitle:医院病区麻醉药品智能管控体系的构建与实施效果分析
- Author:
Tingting QIU
1
;
Xianwei KONG
;
Yingying YAN
;
Yinchu CHENG
;
Bin LIU
;
Xinghan ZHOU
;
Yiheng YANG
Author Information
1. 北京大学第三医院药剂科，北京 100191
- Publication Type:Journal Article
- Keywords:
Narcotics;
Artificial intelligence;
Safety management;
Automation
- From:
Adverse Drug Reactions Journal
2021;23(8):403-407
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an intelligent control system for narcotic drugs in the wards of Peking University Third Hospital and evaluate its implementation effect.Methods:Based on the introduction of intelligent medicine cabinet, relevant software was developed to establish an intelligent control system for narcotic drugs, which connected with the intelligent medicine cabinet and hospital information system, and then formed an intelligent control system for narcotic drugs. In the control system, a remote database for essential narcotic drugs (essential drug database) in the wards was established and 2 closed-loop pathways for locking the batch number of narcotic drugs were designed according to whether the choice was essential drugs in the ward or drugs in the inpatient pharmacy. Based on the functional system of intelligent medicine cabinet, an intelligent management process for narcotic drugs was established, and process remodeling was carried out in prescribing, prescription checking, drugs dispensing and distributing, and account registration, etc. The work efficiencies in remodeled processes before and after the implementation of the control system were compared.Results:The intelligent control system for narcotic drugs was successfully constructed. The essential drug database was deployed in all wards of the hospital and the remote management in the whole hospital was realized. Two closed-loop pathways that could lock the drug batch number effectively controlled the first-in-first-out of narcotic drugs and solved the problem in batch number tracing of narcotic drugs. Thus the fine control of closed-loop batch number tracing, real-time counting, and accurate searching of narcotic drugs in the whole process from entering the drug storage to being used in patients was realized. Because of the establishment of intelligent management process, the manual procedures of doctors in prescribing and drug dispensing and distribution were avoided and the prescription checking procedure of pharmacist were simplified, thus the accuracy in prescribing, prescription checking, and drug dispensing and distribution was improved. The time consumptions for doctors in issuing orders and prescribing, nurses in handling problematic prescriptions, pharmacists in prescription checking and drug dispensing and distribution, and pharmacy inventory and booklet registration etc. were significantly less after the implementation of the control system than before (all P<0.001), and the work efficiency was obviously improved. Conclusion:By constructing the intelligent management system for narcotic drugs in the hospital wards, the full-process closed-loop traceable management for narcotic drugs with traceable sources and whereabouts and accountability in the whole hospital has been preliminarily realized, and the work efficiency has been obviously improved.
