Construction and practice of outpatient drug traceability codes management system based on quality problem analysis and fine management model
- VernacularTitle:基于质量问题分析和精细化管理模型的门诊药品追溯码管理体系的构建与实践
- Author:
Shanshan LU
1
;
Benjun YANG
1
;
Mingying DENG
1
;
Shao CHEN
1
;
Xu CHENG
1
;
Zhaolin CHEN
1
;
Xiangrui MA
2
;
Dejun OU
2
;
Liqin TANG
1
Author Information
1. Dept. of Pharmacy，The First Affiliated Hospital of University of Science and Technology of China （Anhui Provincial Hospital），Hefei 230001，China
2. Information Center，The First Affiliated Hospital of University of Science and Technology of China （Anhui Provincial Hospital），Hefei 230001，China
- Publication Type:Journal Article
- Keywords:
Outpatient pharmacy;
drugs traceability code;
fine management;
Pareto chart;
ORTCC model
- From:
China Pharmacy
2026;37(19):2496-2500
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE To provide references for medical institutions’ outpatient pharmacies to increase the scanning rate， scanning efficiency and scanning accuracy of drug traceability codes.METHODS A total of 4 157 unscanned traceability code records from the first two‑week period of June 2025 were selected from the outpatient pharmacy of our hospital. Pareto chart was adopted to analyze the reasons for unscanned codes， and the Objective-Rules-Training-Check-Culture （ORTCC） model was utilized to carry out fine management. The traceability code scanning rate， pharmacists’ work efficiency （number of prescriptions dispensed per pharmacist per hour， number of drug boxes dispensed per pharmacist per hour）， patients’ medication-waiting time and dispensing errors were compared among four periods： before scanning implementation （June 2024）， before management intervention （June 2025）， the first phase after management （September 2025）， and the second phase after management （December 2025）， so as to evaluate the management effects.RESULTS The traceability code scanning rates in the first phase and second phase after management were remarkably higher than those before management （ P ＜0.05）， and the scanning rate in the second phase after management was obviously higher than that in the first phase after management （ P ＜0.05）. Compared with the period before scanning implementation， the number of prescriptions dispensed per pharmacist per hour， the number of drug boxes dispensed per pharmacist per hour， decreased significantly and patients’ medication-waiting time prolonged markedly before management （ P ＜0.05）. In the second phase after management， both the number of prescriptions dispensed per pharmacist per hour and the number of drug boxes dispensed per pharmacist per hour increased significantly， and patients’ medication-waiting time shortened greatly in contrast with the status before management （ P ＜0.05）. Besides， no statistically significant differences were found in the number of drug boxes dispensed per pharmacist per hour and patients’ medication-waiting time between the second phase after management and the period before scanning implementation （ P ＞0.05）.After the implementation of traceability-code scanning management， dispensing errors presented a gradually declining trend in each stage.CONCLUSIONS The fine management system for outpatient drug traceability codes constructed based on Pareto chart and ORTCC model can improve the traceability code scanning rate and pharmacists’ work efficiency of outpatient pharmacies， and reduce drug dispensing errors.
